Patient Forms

If you would like to become a patient of Diagnostic Partners of North Texas, please complete the New Patient Registration Forms online found below. After completing these forms, call our offices at 972-867-9507 972-867-9507 or 972-578-7700 972-578-7700 to schedule an appointment .

Please arrive at your first appointment 15 minutes early and bring your Drivers License and Insurance card.

• Patient Registration Form

Click Here to Fill Patient Registration Form Online

• Medical History Form

Click Here to Fill Medical History Form Online

• Policy Form

Click Here to Download Policy Form

• Notice Of Privacy Practices

Click Here to Fill Notice Of Privacy Practices Form Online

• Payment Consent Form

Click Here to Fill Payment Consent Form Online

• Permission To Give Medical Information

Click Here to Fill Permission To Give Medical Information Form Online

• New Patient Appointment List

Click Here to Fill New Patient Appointment Form Online

• Established Patient Appointment List

Click Here to Fill Established Patient Appointment Form Online

[Note: You will need Acrobat Reader to view the forms listed on this page. If you do not have Acrobat Reader, you may download it here]