New patients are are asked to provide our practice with details such as name and address, medical history, payment responsibility, etc. This information is necessary for our Team to maintain accurate, up-to-date dental records.
Many patients prefer to save time by completing the necessary forms prior to their appointments. Simply click on each link below to download the forms (pdf format) onto your computer. Complete the forms at home then print and then bring them with you to your appointment.
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If you have questions regarding the information requested, please provide as many details as possible - on the day of your visit our Team will help you finish anything incomplete. While we suggest you print and fill in our registration forms before your appointment date, it's just an optional convenience. You can, of course, complete the forms here at our office on the day of your appointment. If you choose to complete the forms at the office please arrive 15 minutes ahead of your scheduled appointment time.
Please click on the link below to download the forms
It is not necessary to print the HIPAA notice. Please open and read the form.
You will be asked to complete an acknowledgement form stating that you
understand your HIPAA rights with the patient forms.
PATIENT FORMS HIPAA NOTICE
Appointments
We know you have many choices when choosing a Dentist in Plano, TX so we have made requesting an appointment a simple process via our Web site. We have reserved time specifically to care for you so if, for any reason, you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible. We ask that patients kindly give 2 business days notice if they are unable to keep a reserved appointment. You may reach us at 972-267-6244 and press 1 to leave a message with our appointment desk. You may also email us at appt@dannasmile.com.
Insurance
Our office will file with a variety of different insurance carriers as an out of network provider. Please call our office and our Team will help determine your dental benefit as estimated by your insurance carrier.
Our Office
As a licensed restorative Dentist in Plano, TX we work with our patients so they can achieve and maintain a beautiful smile and healthier gums and teeth. We take the time with our patients to explain your treatment options and inform you of additional preventative care. We feel this will lead to a more trusting doctor/patient relationship and, for many people, relieve the stress about seeing a dentist.