6700 Buenos Aires Dr
N Richland Hills, TX 76180

Patient Forms Downloads

Assignment of Benefits/Release of Information (PDF 189kb)

Consent/Release of Information (PDF 136kb)

Medical History Form (PDF 223kb)

New Patient Form (Page 1) (PDF 293kb)

New Patient Form (Page 2) (PDF 306kb)

Acknowledgement of Review of Privacy Practices (PDF 95kb)

Medical Records Request Form (PDF 185kb)

Patient Forms Downloads
Make your check-in faster!
Accepted Insurance Plans
Be sure to check with our office if your insurance is not listed!
Dr. Hammonds Profile
Patient Testimonials
Contact Us

Meet all the doctors of THC and learn about our company
Texas Health Care
MRI & CT Imaging Center

Our state-of-the-art imaging center in Fort Worth

Specific diseases we often treat
Learn more about your disease
Link to WebMD educational sites

Copyright 2008 DFWFamily.com | Home | Start Page | Privacy Policy