Medical City Children’s Orthopedic and Spine Specialists Team

PATIENT FORMS

On this page, you will find forms that may need to be completed prior to your child’s visit. When you call to make an appointment, the patient coordinator will let you know which forms you need to fill out and bring to the office upon your visit. Note that you can fill out the forms online and then print them out.  If you don’t have time to complete all the required forms, we can help you when you get to the office. Please don’t hesitate to call with questions at 214-251-4023.

Patient Forms:

To increase processing efficiency and decrease wait times, Medical City Children’s Orthopedics & Spine Specialist (MCCOSS) provides you with online editable patient web forms. You are welcome to complete the forms online and send them electronically or print and bring them with you. The convenience of our forms online allows you to complete the forms at home, rather than in our waiting room.

New Patient- to be completed by parent/legal guardian:

  1.  MCCOSS New Patient Medical History (English)
  2.  MCCOSS New Patient Medical History (Spanish)
  3.  MCCOSS Demographic and Consent Form (English)
  4.  MCCOSS Demographic and Consent Forms (Spanish)

Established Patient- to be completed by parent/legal guardian:

  1.  MCCOSS Established Patient Return Form (English)
  2.  MCCOSS Established Patient Return Form (Spanish)

Miscellaneous Forms:

  1.  Pregnancy Form
  2.  Fracture Care Form

 Medical Records Release

  1. MCCOSS Medical Records Release (English)
  2. MCCOSS Medical Records Release (Spanish)

As a patient, please click to go to the Patient Portal.  

Any questions regarding our forms or questions about treatment, please call us at 214-556-0590