For your convenience, the following forms and information are available online. Please print and then fill them out prior to your next North Texas Joint Care appointment.

 

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Note: The links below with the PDF icons open files that require the Adobe® Acrobat® Reader®. If you don't have the Reader, select the button below to go to the Adobe site where you can get it - it's free!

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"Patient Welcome" letter>

 

"New Patient Registration" forms*

 

"Records Release Authorization" form*

 

"About Your Health Plan Coverage" form*

 

"Medicare Supplemental Policy Disclosure" form**

 

Notice of Privacy Practices*

 

 North Texas Joint Care Survey - How Are We Doing?

 

 Place a Complaint

 

 

*Denotes requirement of form to be filled out and returned by all new & returning patients.

**Denotes requirement of form to be filled out and returned by all Medicare patients.

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