This packet of consent forms must be completed to begin care at Texas Integrative Medicine with any practitioner.
Release of medical records is often required for your other practitioners to send records to us, and for us to send records to them.
Federal Law States that you must be given access to our complete privacy policies. The link below will allow you to read or download our complete policy. You may also ask for a copy at the office.
Please download, print and complete the appropriate forms listed for your provider. All forms must be received by our office before we will schedule your first appointment. Please contact our staff if you need guidance in selecting the correct forms or conveying them to us
Please direct your completed forms, or any questions to:
For Kylie Bentley RD
New Patient Packet
(links coming soon)