New patient forms will be completed online in our electronic medical record.  If an appointment has been scheduled you should receive an invite from Luminello to create  an account and complete these forms.

In some cases additional paper forms may be required to be completed.

  • If someone other then a biologic parent of legal guardian will be bringing the client after initial visit, please fill out the non parent consent form, get it notarized and bring with you.

  • If the parents of the patient have been divorced, we will need a copy of divorce decreee that shows who may consent for treatment

thank you

North Texas Child Psychiatry  Ph: 972-885-0715 Fax: 972-767-3735  400 N. Allen Dr., Ste 103 Allen TX 75013


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