Patient forms

Forms

Download, print, and bring these forms with you to your visit. Saves time at the front desk.

New patient — Adults

For new adult patients (18+).

For new patients under 18. A parent or guardian must complete this.

Authorize T&R Clinic to share or receive your medical records from another provider.

Spanish version coming soon — please call (817) 831-0321 if you need help.

Call us at (817) 831-0321 — we're glad to walk you through any of these forms.