Patient Resources
For your convenience, here are important forms that you may need for your visit.
Registration Forms
Below is the patient packet and Rehab Screening Tool you will need for your first visit. Please take a few minutes to print and complete to bring with you for your initial evaluation.
We look forward to seeing you!
For your convenience the forms are in English and Spanish.
Consent For Release of Information
There are times when our healthcare providers need to communicate with other providers, family, or caregivers on your behalf. In order to do so, we must have your permission. The form below will allow us to do this and comply with Health Insurance Portability and Accountability (HIPAA) guidelines.
Physician Referral
We appreciate the ongoing relationships and new relationships with the medical community across DFW. We know that you have choices for whom you entrust your patients for therapies, and recognize that ultimately it is what works best for you and your family. If you would like to make a referral for Pulmonary Rehabilitation or any of our other therapeutic services, please download and complete the form below and fax it to (800)669-2161. Please include the most recent history and physical exam available. Thank you in advance for your referrals.
Wellness Care Centers accepts Medicare, Private Insurances, and Private pay for services.
Please don’t hesitate to contact us at (214)607-4000 if you have further questions or concerns.