Attn: Please Do Not use the patient portal for crisis or emergent situations. Please call the office during business hours and if your need is after hours, please call the office and select the option to have your call directed to the provider on call.

Category

Forms

Fill Out These Forms For a Smooth First Appointment

We value your time and well-being at Molina Psychiatric Associates, and we want to ensure your first appointment is as seamless as possible. To expedite your visit and allow our dedicated medical staff to better understand your unique needs, we encourage you to fill out the necessary forms in advance. We offer both English and Spanish versions of our Health Questionnaire and Patient Registration forms to accommodate your preferences. These forms provide essential information for us to tailor our services to your specific requirements. Additionally, our Release and Disclosure forms help protect your privacy and ensure a secure and confidential experience. By completing these forms before your visit, you are taking a proactive step in your healthcare journey, enabling us to serve you more effectively. Thank you for your cooperation, and we look forward to providing you with exceptional care.

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Address

Molina Psychiatric Associates, P.A.

2485 E. Southlake Blvd.,
Suite 100,
Southlake, Texas 76092

Phone

817-873-0595

Office Hours

Monday-Thursday: 7am - 4pm
Fridays: Closed

Email

scheduling@molinapsychiatricassociates.com