Patient Forms for Office Visit

For your convenience, these forms have been categorized by procedure type.  If you wish to be seen by Dr. Sewell for something other than a weight management or a reflux procedure, please click the "Other Minimally Invasive Procedure" link.  Once you have completed the forms, you may bring them with you to your appointment or fax them to (817) 749-0204; we will call you to confirm your forms have been received.

• Weight Management Patient Forms

• Reflux Patient Forms

• Other Minimally Invasive Procedure Patient Forms

Prior to your appointment, please review the HIPAA Privacy Practices and the Legal Disclaimer

If you have questions please call our office - we're more than happy to help!