Patient Forms

Patient Registration Forms

New patients, please complete the registration forms below before your appointment to help our staff gather all the necessary information to provide you with exceptional care. Bring the completed forms with you to your visit.

Additional medical history forms will be provided for completion during your appointment. If you have any questions about registration or forms, feel free to contact us at (214) 540-0300.

Registration Forms

• Patient Registration Form

Eligibility (Insurance enrollment) Forms

1. Children’s Medicaid/CHIP/SNAP Documents
2. What to bring to your visit

Treatment of Minor Consent

Special Minor Consent Form

Information from LBU

Patient Rights and Responsibilities

Your Medical Home

• Privacy Practices