Patient Forms

Please select the proper forms to fill out below based on if you are coming for FAA, TWC, or a private patient. Also choose intake forms based on the patient’s age group. We ask that you please download and complete the following forms and bring with you to your appointment.

Download Patient Forms

Please scroll down to the patient category that applies to the the patient being scheduled.

FAA
Pilots/ATCS

Please download and complete the following forms and bring to your appointment:

FAA Consent
FAA Intake
Release

Texas Workforce Commission

Please download the CONSENT, RELEASE, and choose the appropriate INTAKE based on the patient's age. Complete the following forms and bring to your appointment:

TWC Consent
Release
Child 4-17 Years Intake
Adult 18-54 Years Intake
Adult 55+ Years Intake

Children Ages 2 - 3 Years

Please download and complete the following forms and email back PRIOR to your appointment:

Payment Policy
Consent
Child 2-3 Years Intake
Release

Children Ages 4 - 17 Years

Please download and complete the following forms and email back PRIOR to your appointment:

Payment Policy
Consent
Child 4-17 Years Intake
Release

Adults Ages 18 - 54 Years

Please download and complete the following forms and bring to your appointment:

Payment Policy
Consent
Adult 18-54 Years Intake
Release

Adults Ages 55+ Years

Please download and complete the following forms and bring to your appointment:

Payment Policy
Consent
Adult 55+ Years Intake
Release

Have Questions?

Check Out Our FAQs