Medical Records – If you would like a copy of your medical records, please complete a release form that may be located on the link below. If you are requesting a paper copy, there will be a $25 processing fee.
DTC will always send medical records to another physician at your request free of charge after receiving a completed release form.
|New Patient Form Pack – includes all new patient forms|
|Radioactive Iodine Procedure Patient Forms|
|Thyroid Cancer Forms|
|Authorization to Release Patient Information To Diabetes & Thyroid Center of Fort Worth|
|AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION TO DTC|
|Authorization to Release Patient Information From Diabetes & Thyroid Center of Fort Worth|
|AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION FROM DTC|
|DEXA/Bone Density Release Form|