FORMS & DISCLOSURES

Our forms and disclosures give us extra information regarding your oral health so that we can provide you with the best dental care in Houston.

New Patient FormThis form details all of your contact information, emergency contacts, insurance, and medical history. With this, we can accurately and effectively treat and care for your oral health.
Practice Privacy PolicyThe Practice Privacy Policy explains how we use your information and explains your rights as a patient. We don’t disclose your personal medical information to anyone but you.
Financial AgreementThe Financial Agreement is an agreement between you - the patient, us - the caregiver, and your insurance company. This document explains the ins and outs of financial coverage regarding dental care.
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