BrainDocs, PLLC
BrainDocs, PLLC

Patient Forms

To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.  When making the appointment ask which forms need to be submitted, select the appropriate download link and return the completed documents to our office, along with an I.D and current insurance card(s), at least  1 week prior to your appointment. If we do not have all necessary documents at least 1 week prior, your appointment is subject to cancellation or reschedule.  Naturally, all forms are also available at the practice.  However, new patients will need to fill out several forms before the appointment can begin, please come at least 30 mintues before the actual appointment time to ensure your appointment will start on time.  


If you are unsure which forms to fill out, please contact us. Our staff will be happy to help and answer any questions to the best of their ability. 

NEW PATIENT PACKETS

Child New Patient Packet (17 & under)
Child New Patient Paperwork 2022.pdf
Adobe Acrobat document [1.3 MB]
Adult New Patient Packet (18 & up)
Adult New Patient Paperwork 2022.pdf
Adobe Acrobat document [1.1 MB]
TeleMed (Video) Consent
TeleMed Consent 2022.pdf
Adobe Acrobat document [523.8 KB]

**If you need a copy of your medical records please fill out the form below and send it back to the office.

Another Facility to BrainDocs
ROI to US.pdf
Adobe Acrobat document [206.0 KB]
BrainDocs to Another Facility
ROI from US (1).pdf
Adobe Acrobat document [203.4 KB]

Children, Adolescent & Adult Psychiatry

 

BrainDocs, PLLC sees patients by appointment only. No walk-ins.

 

Phone: 817-240-0012

Fax: 972-724-2111

 

You may email us at:  braindocs@braindocspllc.net

 

Monday to Friday

9:00 AM to 5:00 PM

Print | Sitemap
© BrainDocs PLLC updated 06/18/2019