Brazos Integrative Medicine-Waco Texas-Dr Lisa Kirk

Patient Forms

Before your first appointment please download, print and fill out the following forms.
Bring them with you on your first visit to our office.

Pediatric Forms:

Pediatric Forms

Adult Forms:

Adult Forms

Release or Request of Information:

If you are needing to request your records from our office please fill out the records request form.
Records being requested to be released to the patient are $25.00. Any records being sent to another provider are free of charge.
If you are needing our office to request records from another provider please fill out the records release form.

Medical Records Release Form