Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.

adobe*These forms require Adobe Acrobat Reader. Download Adobe Acrobat Reader for free.

Payment options

We accept many forms of payment, including: cash, check, debit cards, Mastercard, Visa, American Express, Discover, Diner’s Club, and financing. Please give us a call if you would like to discuss: (817) 776-4750 .


We accept the following insurances; CHiP, Medicaid, Humana, Delta Dental, Metlife, United,  Assurant, United Concordia, Aetna, and Guardian.  Please call our office as we accept most insurance plans.