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Family HealthCare Associates - Mansfield, TX (817) 473-7962
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Family HealthCare Associates – Mansfield, Texas

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Forms

No one likes to stand in line at the doctor’s office and then be asked to fill out more forms.

Wouldn’t it be nice to have the paperwork out of the way prior to your next appointment?

We can help you with that.

Just follow these simple steps:

Online Forms

  1. Click the form you need below.
  2. Fill it out prior to your visit.
  3. Give it to the receptionist at check-in.
Patient Information Health Questionairre
Disclosure Agreement
(You will need the free Adobe Acrobat Reader to view these forms.)Get Acrobat Reader web logo

Other Time Saving Suggestions:

  • We must maintain a copy of your insurance card in your medical chart. If you have access to a copier, please bring a copy of both sides of your card with you to your next appointment. You may fax it with the completed Patient Information form.
  • A patient information form must be completed for each member of the family and a copy of their insurance card kept in their chart.
  • If any of the information requested on our registration form has changed, an updated form will help us to better serve you.

As a reminder…

Our offices require presentation of your insurance card at every visit. Please remember to have your card with you.

We collect your insurance company’s required co-pay when you check in for your appointment. Most of the time you will not have to stop at the front desk to check out at the end of your visit.

Avatars by Sterling Adventures

After-Hours Care:

After hours care is offered at our South Arlington office (1926 SW Green Oaks)
Monday to Friday, 6pm to 8pm, Saturday 9am to 1pm, Sunday 12pm to 3pm


Refer to our "LOCATIONS" page for more information.
* Services vary by location.
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The information provided on this website is solely for the express purpose of providing information pertaining to Family HealthCare Associates and its physicians. In no way is the information contained herein a substitute for the professional advice of an accredited medical physician, nor is it a degree of comprehensiveness that will allow lay-person diagnoses. The user of this information is strongly urged to seek the care of a physician for the diagnosis or treatment of any perceived ailment. Your access of this web page is an acceptance of the above terms and our privacy policy.
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