Texas Family Health Care

You may complete these required forms, including your patient profile, health questionnaire, as well as various authorizations and consent forms, prior to your first visit at Texas Family Healthcare. Print this packet out, complete it, and either fax it to us at 972-566-7974, or bring it to your first appointment along with your identification and your insurance information.
We look forward to seeing you soon!

First Visit Forms

Contact Information:

Please provide us with your contact information so that we can best reach you.

For reasons of privacy and security, it is Texas Family Healthcare’s policy not to send or receive patient information via email or this form. Please do not send requests for medical advice, treatment, appointments, or patient information (even your own) to Texas Family Healthcaren through this form or over email. Requests of this nature should be made by phone.

Your First Visit

Contact Information: