If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Patient Forms (English)
WelcomePatient Info SheetHealth HistoryFinancial PolicyDental TX Consent FormHIPAA Notice of Privacy PracticeAcknowledgement of ReceiptPatient Screening for Aerosol Transmissible DiseasesAuthorization Form
Patient Forms (Spanish)
BienvenidoPaciente Hoja de InformaciónHistoria de saludPolítica financieraDental TX Formulario de ConsentimientoHIPAA Aviso de Prácticas de PrivacidadAcuse de recibo
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
LOOK YOUR BEST
We combine experience with the latest in dental technology to deliver the best patient experience possible.