Three of the car occupants went to the hospital for their injuries, while one of the women was not injured.
The driver of the SUV, Cindy Harner, of Springtown, was wearing a seat belt and, despite several apparent bruises, refused treatment at the scene.
Harner disputed witnesses accounts to DPS that she appeared to be the aggressor in the incident.
Harner said she was traveling in the eastbound right lane with her cruise control on and listening to music when a black car, traveling fast, swerved into her lane, making obscene gestures at her.
Harner said she swerved and attempted to regain control of the vehicle several times but overcorrected and went through the ditch and across the westbound lanes of the roadway.
The car that started the incident did not stop at the scene but she was told the driver went to the Azle police station and reported it was Harner’s fault, Harner said.
Additional information on the incident, including the names and conditions of those injured, was not available Thursday evening.
No charges had been filed, according to Trooper Lonny Haschel, spokesman for DPS, though the investigation was ongoing and that could change.