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This form is for patients only. If you are a referring physician please click the “REFER A PATIENT” button and follow the instructions for Referrals.

TO OUR PATIENTS AND FUTURE PATIENTS: IF YOU NEED EMERGENCY CARE, PLEASE CALL 911.  If you need urgent care call our office at 817-332-2020. 

For all routine appointment requests, please complete the form below.  This generates an email to us and we will contact you as soon as we are able.

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