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(817) 332-2020
(817)332-2020
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Patient Registration Form (English)Patient Registration Form (Espanol)
Medical Records Release Form NEW INCOMING
Medical Records Release Form NEW OUTGOING
HIPAA and PRIVACY NOTICE ACKNOWLEDGEMENT ENGLISH VERSION 2018
HIPAA AND PRIVACY NOTICE ACKNOWLEDGEMENT SPANISH VERSION 2018
PATIENT FINANCIAL AGREEMENT ENGLISH 2018
PATIENT FINANCIAL AGREEMENT SPANISH 2018
Notice of Privacy Practice Comprehensive Version

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(817)-332-2020
Fort Worth Main Office
1201 Summit Avenue Fort Worth, Texas 76102
Phone: 817-332-2020
Fax: 817-810-0791
Fort Worth Cityview Office
Southwest Medical Plaza II
5801 Oakbend Trail Suite 100
Fort Worth, Texas 76132
Phone: 817-346-2969
Fax: 817-346-3250
HEB Office
Hurst Town Center Medical Plaza
809 W. Harwood Rd. Suite 304
Hurst, Texas 76054
Phone: 817-788-9303
Fax: 817-514-0752
Granbury Office
HEB Shopping Center
3906 East Highway 377, Suite 103
Granbury, Texas 76049
Phone: 817-579-0100
Fax: 817-279-0699
Weatherford Office
804 Santa Fe Drive
Weatherford, Texas 76086
Phone: 817-594-9500
Fax: 817-596-7081
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