Patient Registration Forms
Texas Medical Institute in Fort Worth, Texas, welcomes you to our practice. Once you have made your initial appointment, you may pre-register online by completing the interactive form(s) below, or you may download and print the form(s), fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
Also, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.
Downloadable Forms:
- New Patient Registration
- Workers’ Compensation Form
- Workers’ Compensation Form – Spanish
- Workers’ Compensation Form (State Division of Workers’ Compensation)
- PIP Personal Injury Form (for auto accidents)
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
