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Patient Forms

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 Packincludes all new patient forms
Radioactive Iodine Procedure Patient Forms
Thyroid Cancer Forms
Hyperthyroidism 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