Patient Forms

New Patient Packet contains:

  • Patient Information
  • Acknowledgement of Office Policies
  • Patient Consents
  • Financial Policies
  • PHI Communication Preferences
  • Notice of Privacy Practices
  • Medical History

Please download the above forms, fill them out and bring them to your first appointment at U.S. Dermatology Partners of Fort Worth – Cultural District.

Minor Consent Form (PDF): If the primary patient is a minor, the parent or guardian must fill out this form and bring it to the first appointment.