New Patients download the following forms:

Medical History form


State Immunization form

(a form we are required to offer.)

Patient Consent Form

Cash Pay Options

Here are various other forms:

HIPPAA document

Automobilie Accident form

FMLA request

Medical Record Release Request

Here are some instructions on some technical issues

Email Questions

Patient Portal Access

Lighthouse Family Medicine

6515 Colleyville Blvd.

Colleyville, TX  76034

817 424-3774

817 424-3398 fax

For Life-Threatening Emergencies Call 911

© 2018 by Lighthouse Family Medicine. Proudly created with