Patient Forms

Below are some of the new patient forms which you may download and either bring with you at the time of your appointment or fax in prior to your appointment. Fax forms to: 817-346-0463.

Please print these 3 forms, fill out and bring with you to your appointment.

Medical History Form
New Patient Form
Consent Form

The following items are for your reference and information.

Financial Policy
Hippa Privacy Notice

Most forms available are in Adobe Acrobat Format and one of the Microsoft Suite formats. If you don't have have Adobe Acrobat Reader you can download it here for Free:

Get Adobe Reader

 


6013 Wedgwood Dr. • Fort Worth, Texas 76133 • Office: 817-346-6411 • info@bartelldds.com

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