Download and complete Dallas Nephrology forms for new patients.

Before your first appointment at DNA, please download and fill out our new patient forms and bring them with you when you come in. This will help you have the most efficient and effective kidney care appointment.

Downloadable Patient Forms

• Authorization for Release of PHI
• Combined Consent – Telemedicine, RX and Portal
• Consent for Medical Care
• Health History
• Notice of Privacy Practices
• Patient Acknowledgment of Receiving Privacy Practices

Need help? Not sure what to do or which form(s) to fill out? Call Dallas Nephrology Associates today at 877-654-3639 or contact us via our convenient online form.