FOSSIL CREEK FAMILY MEDICAL CENTER

7510 North Beach Street Fort Worth, TX | 817-498-1818

Doctors

  • Doctor David Simonak DO
  • Carla Dahms FNP-BC
  • Nurse Practioner Robin Sustala APRN
  • PA-C Jake Duncan
  • Office Staff

Forms



Welcome Note - Welcome to Fossil Creek




Privacy Notice (patient portal) - How we protect your privacy




Privacy Notice Acknowledgement (patient portal) - Acknowledgement Privacy Notice has been read




Privacy Releases (patient portal) - Required information to release information




Patient Demographics - Information about our patient




Additional Patient Information (patient portal only) - Additional personal and insurance information




Patient History - First page of Patient History




Patient History (page 2) - Second page of Patient History