Patient forms

Forms

Fill these out online and send them in before your visit — or download and print. Either way, it saves time at the front desk.

New patient — Adults

For new adult patients (18+).

Fill it out on your phone or computer, sign, and send — no printing needed.

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

Fill it out on your phone or computer, sign, and send — no printing needed.

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

Fill it out on your phone or computer, sign, and send — no printing needed.

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.