Patient Forms & Privacy
At North Texas Perinatal Associates, your time is as valuable to us as it is to you. Upon scheduling your appointment, we encourage you to take time to complete the Patient Registration Forms before arriving on day of your appointment, so that we may care for you promptly.
In an effort to help decrease your wait time the following forms are available for you to pre-print and fill out prior to your visit to our offices. Bring the completed paperwork with you on the day of your appointment. Depending on the reason for your referral there may be additional forms required for completion, at the office.
Before downloading, be sure you have the latest version of Adobe Reader on your computer in order to view these documents.
Patient Information Form
Download
Health Information Form
Download
Medication List
Download
Receipt of Notice of Privacy Practices
Download
Patient Brochure
Download