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.
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New Patient Form Pack – includes all new patient forms | |
| Radioactive Iodine Procedure Patient Forms | ||
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Thyroid Cancer Forms | |
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Hyperthyroidism Forms | |
| Authorization to Release Patient Information To Diabetes & Thyroid Center of Fort Worth | ||
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AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION TO DTC | |
| Authorization to Release Patient Information From Diabetes & Thyroid Center of Fort Worth | ||
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AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION FROM DTC | |