Patient Forms

Patient Information Forms

We are enrolling our new and existing patients into our digital database. This is done only one time online. Medical updates for future appointments will be done electronically on an IPAD in our office when you arrive. After you make your appointment, please take a minute to fill out the following online Patient Forms before you arrive for your appointment.  Your forms will be sent directly and securely to our office which saves you valuable time when you arrive for your appointment.  Call us if you have any questions or concerns.  We are happy to help you in any way and look forward to a more streamlined system!

HIPAA Notice

Please read and print (if you would like a copy) the following HIPAA Notice of Privacy Practices from our office to understand how we protect your health information, how it may be used and disclosed by our office and how you may obtain access to and control your information. When you arrive at our office, you will be asked to sign an Authorization of Receipt of Notice of Privacy Practices that acknowledges you have received this Notice.

  • HIPAA Notice of Privacy Practices PDF

Post-Treatment Information

Please read and print any of the following post-treatment instruction sheets that our dentists and hygienists recommend for you.  Call our office immediately if you have any questions or concerns about your post-treatment care.

  • Orthodontic Instructions PDF
  • Scaling, Root Planing and Curettage PDF
  • Temporary Crowns PDF
  • Root Canals PDF
  • Sedation Patients PDF
  • Oral Surgery PDF
  • Dry Socket PDF

 

Academy of General Dentistry American Orthodontic Society American Dental Association American Academy of Implant Dentistry Texas Dental Association Pankey Institute
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