New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please complete these forms and fax or mail these necessary forms to our office. Once we receive these forms we can schedule your dental appointment.

If you have any problem getting these files to print properly, please call our office and we will gladly mail or fax them to you.

Please mail or fax the completed forms before the scheduled appointment and please send an email notification letting us know that you have submitted those forms to us.

• Health History Forms
• Dental Work Consent Form
• Anesthesia Consent Forms
• Financial Responsibility Forms

Post-Operative Information

• Extraction Post-op Instructions
• Fillings Post-Op Instructions
• Teeth Cleaning (Deep cleaning) Post-Op

Download Adobe Acrobat Reader Now

972.296.0101

Fax: 972-296-5801
107 North Cedar Ridge Dr
#100
Duncanville, Texas
75116