New Patient Paperwork

• New Patient Paperwork Packet

• Medical Release Form

Please Submit Paperwork Below

Please note that our facility’s website is not secured as we do not collect personal or private health information via our site. Accordingly, the “Contact Us” form is not intended for use with personal or private health information, however, e-mail sent via the “Contact Us” form is sent to a facility employee on a secure e-mail server. This form is for new patients inquiring about our facility and services. If you are a current patient, please call us at (214) 823-2052 (select option 3).