Patient Forms

Call (817) 442-8282

If you are a new patient to our office, the tabs below contain the forms that will need to be filled out at or before your initial visit.  Printing them, completing them, and bringing them with you will allow us to attend to your dental needs more quickly.  Thank you, and looking forward to seeing you soon!

Patient Forms

Financial Policy

Notice of Privacy Practices

HIPAA Release of  Information

Sleep Screening Questionnaire

COVID-19 Patient Questionnaire


 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.

Dental Health

As dental professionals it is our priority to provide quality dental care you can trust.

Testimonials Contact Us