Breast Surgical Oncology
1250 8th Avenue
Suite 120
Fort Worth, Texas 76104

(817) 923-6900
F: (817) 923-6903

PATIENT SUPPORT
In order to make your visit as smooth as possible, we ask that you please print out the forms provided below, and have them completed. Bring these completed forms to your appointment.

 • Patient Registration
 • Patient History
 • Patient Record of Disclosure
 • Authorization to Release Medical Records
 • Notice of Privacy Practices
 • Consent for Treatment

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