Request Appointment | Dr. Kashif Anwar, MD

Appointment Request

Please complete all required fields. Our staff will call or email to confirm within 1 business day.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Phone Number *

Email Address *

Patient Information

Patient First Name *

Patient Last Name *

Patient Date of Birth *

Patient Age

New or Existing Patient? *

Insurance *

Appointment Details

Preferred Office Location *

Type of Visit *

Preferred Date

Preferred Time

Reason for Visit / Additional Notes

✅ Request Received!

Thank you! Our staff will contact you within 1 business day to confirm your appointment. For urgent needs, please call 817-460-7911.

🔒 Your information is secure and will only be used to schedule your appointment.

Contact & Hours

Arlington Office

717 N Fielder Rd
Arlington, TX 76012

817-460-7911

Mon/Tue/Thu: 8:30am–5:30pm
Wed: 8:30am–1:30pm
Fri: 8:30am–5:30pm
Closed Sat & Sun

Crowley Office

779 E FM1187 #11
Crowley, TX 76036

817-200-4781

Mon/Tue/Thu: 8:00am–5:00pm
Wed & Fri: 9:00am–3:00pm

New Patients: Please have your current insurance card ready at your first visit. All new patients must present insurance before services are rendered. Download our new patient forms to complete before your visit.

🏥

Existing Patients

Get Your Patient Portal Link

Text your child's information to either office below. Our staff will send you a personalized Patient Portal link so you can view records, test results, and more.

How it works: Text your name, date of birth, and insurance information to our office. Our staff will send you a personalized Patient Portal link directly.

💬 Text Arlington Office: 817-460-7911 💬 Text Crowley Office: 817-200-4781

Staff will reply with your personal Patient Portal link. New patient? Complete your forms online before your first visit.

Request an Appointment

Appointment Request

✅ Request Received!

Contact & Hours

Get Your Patient Portal Link