PATIENT INFORMATION

OFFICE POLICIES

Our office has a 24-hour cancellation policy.  Our intent is to give each patient the time and attention she deserves. Please contact us 24 hours prior to your appointment if you will be unable to attend.

There is a $25 charge for no-shows. Unanticipated no-shows increase the overall wait time for appointments and disrupt the doctor schedules. We will contact you the day before to remind you of your appointment and you can cancel or reschedule if necessary.

We strive to stay on schedule throughout the day. If you are late for your appointment, you will affect the other patients in the office. If you arrive 15 minutes late without notifying our office about being late, we will make our best effort to see you the same day but, on occasion you may be asked to wait or reschedule your appointment.

If you have an emergency during regular office hours, please call the office and speak directly to the receptionist. If your emergency is after 5 p.m. or on the weekend, you may call our office and the answering service will relay your message to Dr. Firouzbakht or one of the on-call physicians. You will receive a call back within a few hours, depending on the severity of your situation. If you have a non-emergency situation, you will receive a call within the next business day.

Non-emergency messages for the doctor will be returned within 24 hours. Please leave information about the nature of your call so we can best handle the message quickly. Make sure we have current contact information as well.

Prescriptions will be refilled within 24 hours. Please make sure that we have your current pharmacy information. In most cases, we cannot refill a prescription unless we have seen you in the office in the last 12 months. This ensures that your medical information is current and you have not had any complications from the medication. Prescriptions will not be refilled on the weekends.

  • Texas Health Harris Methodist Hospital, Fort Worth  
  • Baylor All Saints Medical Center’s Andrews Women’s Hospital

Dr. Firouzbakht is an In-Network provider for the following plans:

AARP Medicare Complete

Aetna Medicare Advantage PPO/HMO

Aetna Medicaid

Aetna Commercial

Averde

BCBS PPO/POS/HMO

BCBS MCR PRO

CIGNA

Cook Children’s Medicaid

Coventry (Cigna) (HCC)

Coventry Advantra MA PPO (Cigna)

First Health (Cigna)

Calacy Healthcare PPO

GPA

GEHA

HealthSmart ACCEL

HealthSmart GEPO

HealthSmart PPO

Humana Choice Care PPO

Humana Medicare PPO

Humana Medicare PFFS

Humana Medicare HMO

Humana Military / Tricare Prime

IMS PPO

MCR 

MCD (Traditional)

MultiPlan PPO 

PHCS (GPA)

Prime Health Services

Smart Care

Texan Plus (Universal American)

Today’s Options (Universal American)

UMR (United Healthcare)

United Healthcare

United Healthcare Golden Rule

United Healthcare MCR Advantage

* Please familiarize yourself with the terms of your insurance regarding deductibles and co-pays. Our office staff will gladly help you with any questions you may have.

Patient Forms

If you are a new patient with a first appointment scheduled with us, you may download and print off the following forms to fill out and bring with you to your first appointment: 

» DEMOGRAPHIC FORM

» BRACA QUESTIONAIRE

» MEDICAL RECORD RELEASE FORM

CONTACT INFO

To schedule an appointment with Dr. Firouzbakht or for general questions, call 817-878-2667.

Dr. Noushin Firouzbakht

1125 S. Henderson St
Ft. Worth, TX 76104


Phone: (817) 878-2667


Fax: (817) 810-9541