To save you time on your first visit we have provided you with the option to print out and complete our new patient forms before visiting our office. Bring your completed forms with you and make your first dental appointment faster and easier. If you have any problems with the forms feel free to call our office and we will gladly assist you.
Click on the links below to access a printable PDF of our Notice of Privacy Practices form, Acknowledgement of Receipt form, and our Patient Registration form. Fill them out at your convenience, and if possible, fax a copy to our office. Please also bring the originals with you to your first appointment.
Notice of Privacy Practices (128K PDF)
Acknowledgement of Receipt (216K PDF)
Patient Registration Form (236K PDF)
Online Patient Communication (220K PDF)
Financial Policy (168K PDF)
Authorization for Release of Records (24K PDF)
Northwest - 11615 Angus Road
New Patient Form: NEW PATIENT QUESTIONNAIRES
Patient Login: PATIENT LOGIN
South - 6211 William Cannon Drive West
New Patient Form: NEW PATIENT QUESTIONNAIRES
Patient Login: PATIENT LOGIN
Round Rock - 893 I-35 North
New Patient Form: NEW PATIENT QUESTIONNAIRES
Patient Login: PATIENT LOGIN
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