New Patient Form
Welcome to our practice! To help us provide you with the best care possible, please complete the New Patient Information Form before your appointment.
What this form includes:
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Personal and contact information
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Medical history and current medications
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Dental history and concerns
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Insurance and billing details
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Notice of Privacy Practices
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How to complete:
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Fill out the form online or download/print and bring it with you.
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Be sure to include accurate health information, as it helps us ensure your safety and customize your treatment.
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If you need assistance, our team will be happy to help when you arrive.
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📌 Completing this form ahead of time will make your first visit smoother and allow us to focus on your care right away.
Insurance/Finance
We are now welcoming New Patients! At our office, we reserve your appointment time 100% for you. Visit our Office Visits page for detailed information on what to expect for your first visit with us!
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Please take a moment to call our office and schedule your first appointment at (214) 368-6792 or click to Book a New Patient Appointment by email. Our friendly front desk will help you find an appointment time that best fits your needs. The first appointment will generally take 1.5 hours.
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If you are utilizing insurance, refer to the list of PPO Insurances we accept on our Financial Information Page. If you have any further questions, please give us a call and we would be happy to help.