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(817) 280-9933
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    • ADHD-Non-Drug Program
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Resources

Medicare Opt-Out Form
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Forms for Adults
Forms for Child
Patient's Informed Consent Form
Essential Oils & Fragrances
Completion Form for Adults and Children

Disclaimer:

Due to HIPPA Laws, please understand that making an appointment and completing paperwork does not establish a doctor-patient relationship with The Block Center until you actually meet with the doctor.

Before You Arrive

If you have made an appointment at The Block Center, please download these forms and bring the completed forms to your first appointment.

You will lose your deposit if you cancel later than 24 hours before. If you have an appointment on Monday, you must cancel on the preceding Friday to have your deposit returned to you.

Programs

  • ADHD-Non-Drug Program
  • Anxiety / Depression
  • Autism Spectrum Disorder
  • Ear Infection
  • Menopause / PMS
  • Clarity Chair
  • Asthma / Allergies
  • Fatigue/Headache-other Programs
  • Weight Loss

Get a Forms

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The Block Center
Please send your mail to
5913 Lovell Avenue, Suite A,
Fort Worth, TX 76107

(817) 280-9933

drblock@blockcenter.com

(817)-280-9966

Hours:
Mo, Tu, We: 8:30 am – 5:00 pm
Th: 8:30 am – 12:00 pm



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Disclaimer: The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

  • HOME
  • ABOUT
    • Reviews
    • FAQs
    • Back
  • PROGRAMS
    • ADHD-Non-Drug Program
    • Anxiety / Depression
    • Autism Spectrum
    • Ear Infection
    • Menopause / PMS
    • Clarity Chair
    • Asthma / Allergies
    • Fatigue / Headache
    • Weight Loss
    • Back
  • SHOP
  • BLOG
  • PRESS ROOM
  • FORMS
  • CONTACT
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