PATIENT INTAKE FORMS AND CONSENTS

To Do Before Your Appointment: 

  1. You will receive a patient portal invite and an text/email with your intake forms and consents.

  2. Upload the image of your drivers license and front/back of your insurance card.

  3. Please complete these forms and consents before your appointment to expedite your care. If you do not, please inform the staff the day you arrive or contact us at 817-410-7982.

  4. ​Login into the patient portal. Dr. Chen will send you messages and results in the HIPAA protected patient portal.

Woman & Doctor

MEDICAL RECORD RELEASE

If there are records you would like Dr. Chen to review at your appointment, complete the release form and send it to your previous provider to release records.

Nurse Talking to Patient

MINOR TREATMENT FORM

The parent or guardian will be required to complete a minor treatment consent, which will be sent to you in your new patient intake forms via text/email. You can view the consent form here as well.

Little Boy Playing Doctor