Patient Forms

New Patients

Please choose Adult Forms below for patients over the age of 18.

Please choose Child Forms for anyone under the age of 18.

Existing Patients

Please update your forms prior to your dental cleaning appointment using the link below.

Your forms will be transmitted to our office following secure HIPPA guildelines. Please be certain that you electronically sign all forms before exiting the forms website. If you have any question do not hesitate to contact us at 972-267-6244 or by email at [email protected]

Effective September 2013 our HIPAA Notice of Privacy Practices as been updated.