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Patient Forms

We are honored that you have chosen USMD Hospital at Arlington for your healthcare needs. Our healthcare team knows you are busy. As a result, we strive to simplify and streamline our processes to meet your unique needs. Please find links on this page to forms you may review in advance of your scheduled surgery or procedure. By opening each of them now, you may review them at your leisure. The forms are personalized for each patient upon arrival at our Arlington, TX hospital. Although you should not sign them now, you may familiarize yourself before your arrival.

If you need medical records of your hospital visit at our facility, please call 1-817-472-3440 or fax the request to 1-817-472-3448.

The following forms are for review purposes only, for reference prior to your surgery or procedure. You may review them now, but please do not sign. You will be given a personalized version of each form upon registration at the hospital.

The following forms are printable so you can reference the materials at any time.

The following forms are for the authorization for release of patient information.

USMD Hospital at Arlington is a joint venture with Texas Health Resources and meets the definition under federal law of a physician-owned hospital. Doctors on the medical staff practice independently and are not employees or agents of the hospital. A list of physician owners is available upon request.