5501 Independence Parkway, Suite 205 ~ Plano, Texas 75023 ~ phone: 972-51-SMILE (7-6453) ~ fax: 972-943-5720

We have made our new patient forms available to you as Adobe Acrobat 4.0 files. For your safety and convenience, we recommend printing and completing these forms in the comfort of your home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

New Patient Health History

Consent for Dental Treatment

HIPAA Consent and Notice of Privacy Practices


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