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Patient
Forms

Kindly register as a new patient by filling out the necessary forms.

You can download the following registration forms and print them out. These same forms are also available at our office. You can submit the completed form(s) at our reception desk. We look forward to serving you soon at Be Well Primary Care.

New Patient Registration Packet

Pre-Register and Patient Portal

Controlled Substance Agreement & Informed Consent

Electronic Consent

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Be Well Primary Care is an independently owned medical practice and is not affiliated with “Bwell” Clinics or any similarly named organizations.

Be Well Primary Care – Alliance:
Address: 3800 N Tarrant Pkwy Suite #210, Fort Worth, TX 76244
Phone: 682-593-6660
Fax: 877-330-4479
Alliance@bewellprimarycare.com

Be Well Primary Care – Bridgeport:
Address: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426
Phone: 940-683-2297
Fax: 877-330-4479
Info@bewellprimarycare.com

Be Well Primary Care – Keller:
Address: 601 S Main St #200, Keller, TX 76248
Phone: 682-549-3311
Fax: N/A
Keller@bewellprimarycare.com

Be Well Primary Care – Argyle:
Address: 7210 Crawford Rd ste 110, Argyle, TX 76226
Phone: 469-941-9577
Fax: 833-468-4906
Argyle@bewellprimarycare.com

Be Well Primary Care – Azle:
Address: 721 Southeast Pkwy, Azle, TX 76020
Phone: 817-270-3627
Fax: 888-289-2380
Azle@bewellprimarycare.com

Be Well Primary Care -Denton:
Address: 3105 Colorado Blvd Ste 100, Denton, TX 76210
Phone: 940-600-5311
Fax: 888-494-2325
Denton@bewellprimarycare.com

Be Well Primary Care – Saginaw:
Address: 709 W Bailey Boswell Rd, Saginaw, TX 76179
Phone: 682-549-3202
Fax: 888-494-2325
Saginaw@bewellprimarycare.com

Medicare Coordinators:
medicare@bewellprimarycare.com