Fort Worth Medical Specialists
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    • Medication List
    • HIPAA Release Form
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Patient Resources

Dependable and Compassionate Care

Patient Forms

New Patient Forms

Please complete and bring to your appointment.

  • Patient Brochure
  • Portal Letter
  • New Patient Registration
  • HIPAA Release Form
  • Medical Release Form
  • Current Medication
Wellness Forms

Wellness Sheets

For your reference and personal use.

  • Monthly Exercise Log - Track time spent exercising towards your weight loss and health improvement goals.
  • ADA Blood Glucose Log
  • AHA Blood Pressure Log
  • Constipation Log
  • Smoking Cessation
  • Stress Reduction Exercises
  • Low Back Pain Exercises
  • Mediterranean Diet Guide
Contact Us

Fort Worth Medical Specialists
724 Pennsylvania Avenue
Fort Worth, TX 76104
staff@fwmedicalspecialists.com

Phone: (817) 336-1200
Fax: (817) 338-4707
After Hours: (817) 249-3692

For emergencies, dial 911 or go to the nearest emergency room.

Affiliated Hospitals

Texas Health Harris Methodist Hospital
1301 Pennsylvania Ave
Fort Worth, TX 76104
(817) 250-2000

Plaza Medical Center of Fort Worth
900 Eighth Avenue
Fort Worth, TX 76104
(817) 877-5292

New Patient Forms
  • Patient Brochure
  • New Patient Registration Form
  • Portal Letter
  • Current Medication List
  • Authorization To Release Health Information
  • HIPAA Release Form
Concierge Practice
Phillips Total Health Concierge Practice

www.phillipstotalhealth.com

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  • Home
  • Patient Resources
  • Patient Forms
  • Insurance
  • Contact Us
  • Patient Portal