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Clinic Phone
817-523-5402
Send us an E-Mail
[email protected]
Our Location
308 W Hwy 199, Springtown, TX 76082
Working Hours
Mon - Thurs 8:00-5:00, Fri 8:00-12:00
Springtown Family Health Center
  • Home
  • About Us
  • Services
  • Providers
  • Patient Forms
  • Patient Portal
  • Contact Us

Patient Forms

  • Home
  • Patient Forms

PDF Forms

Forms in this column are to be saved/completed on computer, then email to [email protected]
(a HIPPA compliant email server).

New Patient Forms

Consent to Treat Authorization Form
Health Questionnaire Form
Medical Records Authorization Form
Patient Information Form

Additional Forms:

Anxiety/Depression Questionnaire
TDMV Handicap Application
UIL Physical Form
Clinic Phone
817-523-5402
Send us an E-Mail
[email protected]
Our Location
308 W Hwy 199, Springtown, TX 76082
Working Hours
Mon - Thurs 8:00-5:00, Fri 8:00-12:00

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