New Patient Forms
Thank you for scheduling your appointment with Texas Child Neurology. The New Patient Forms are REQUIRED to be filled out prior to your appointment time. To best care for your child, we need this information to be filled out in detail, not rushed. If you are not able to fill them out ahead of time using the instructions below, you must arrive 30 MINUTES PRIOR to your appointment time to fill them out in our lobby. Failure to do so will risk your appointment being rescheduled. If you have all forms completed, please arrive 20 minutes early to complete the onsite remainder of the New Patient on-boarding process.
There are two options to filling out these forms:
Print, fill out, and bring to your appointment.
Download and save the forms to your computer, then open and fill out the saved document, and save the document again on your computer. Then email the document to: email@example.com. You will receive an email confirmation from Crystal when she is in receipt of your forms during business hours. If you do not get an email confirmation from Crystal, please call her directly: 972-769-9000 Extension 2132.
Thank you in advance for helping us get to know your child!