Patient Forms

Get Ready for
Your Visit

Download, print or fill in your forms online so
your visit at Reliant starts on time.

Download or Complete Your Forms

Complete your patient forms before your appointment to help us prepare for your visit and make the check-in process easier. Download a PDF, or fill in any form online.

New Patient Registration Form

Patient Health Questionnaire and General Anxiety Disorder

Psychiatric History Questionnaire

The Mood Disorder Questionnaire

Authorization to Disclose Protected Health Information

Payment Plan Financial Card Policy and Consent

Scheduling & Appointment Types

We offer both in-person appointments at our Grand Prairie office and virtual visits through Telehealth, giving you flexibility
in how you receive care. New patients can typically be seen within a week, and walk-ins are welcome.

To schedule an appointment, call (972) 433-0088.