Welcome to Kirkland Clinical Associates. Dallas-Ft.Worth Metroplex

Forms

Adult




  • Signature Page


  • Before Your First Visit:

    You can make you first appointment and ongoing appointments by clicking the "Schedule Now" button on the left side of this page and choosing a time that fits your schedule. Or you can call me at (972) 768-1124.

    Please print the signature page and the credit card authorization form and sign them. Please bring them along with your insurance card and driver's license to our first appointment.

    By following these instructions you will have a smooth and seamless intake. I look forward to working with you. Contact me if you have any questions.


    Map to KCA: