Patient Registration Forms
Begin your journey back to life.
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General Information
New Physical Therapy Patient
Returning Patient
Medical Records Request Form
Authorization for Release of Information (PDF)
To request patient records, please complete this form and send to info@texasback.com or fax to 972-608-5018.
Your appointment with Texas Back Institute is the most important you can make for long-term back pain relief. We will review your history and get you on your way to the best possible outcome for yourself and your family.