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1252 Harwood Road

Bedford, TX 76021

Call Us: (817) 284-1496

www.charlessafelymd.com
Call Us: (817) 284-1496
Patient PortalPortal Icon
  • Home
  • About Us
  • Services

    • Hormonal Imbalance
    • BioTE Pellet Therapy for Women
    • BioTE Pellet Therapy for Men
    • Incontinence Care
    • Birth Control and Contraception

    • Robotic daVinci Surgery
    • Obstetrics
    • Gynecology
    • Well Woman Visit
    Patient Portal
  • Patient Resources
  • Contact Us

Patient Resources

Download patient forms by clicking the links below.

Post and Pre-Op Instructions

General Surgery Pre-op Instructions

General Surgery Pre-op Instructions

Major Post-op Instructions

Major Post-op Instructions

Outpatient Post-op Instructions

Outpatient Post-op Instructions

Other

Medical Records Release FROM Dr. Safely

Medical Records Release FROM Dr. Safely

Medical Records Release TO Dr. Safely

Medical Records Release TO Dr. Safely

www.charlessafelymd.com
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www.charlessafelymd.com

Copyright © 2025 Charles Safely MD
All rights reserved.

IMPORTANT! All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease.

1252 Harwood Road,
Bedford, TX 76021

Call Us: (817) 284-1496

Copyright © 2025 Charles Safely MD
All rights reserved.

IMPORTANT! All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease.


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