(817) 377-0143
   809 W. Harwood, Suite 202 Hurst, TX 76054
   9 Medical Pkwy #108, Farmers Branch, TX 75234

Patient Forms

As a new patient of Dr. Kaufman, you will be asked to complete some required medical history and registration forms to bring to your initial appointment. If this is not possible, please plan to arrive 15-20 minutes early to allow time to complete the forms provided in our office. These forms are to ensure we have accurate information on you as a patient, including but not limited to, health insurance, medical history, current medications and history of your current injury or condition. All of this information allows our physicians to provide the best care possible by knowing your medical needs.