New Patient Packet

All new patients please download this form. Email the completed copy to Patient.documents@retinacentertx.com, fax it to (817) 865-6790 or bring it with you to your first appointment.

Medical Release Form

To request your medical records (Protected Health Information) be sent to another doctor, medical practice, or receive a copy for yourself, please download this form. Email the completed copy to info@retinacentertx.com, fax it to (817) 865-6790 or bring it with you to your appointment.