PATIENT FORMS


New Patients, please fill out these two forms and bring with you to your appointment:
 
Patient Registration Medical History

 
If you know you will be needing any of the following treatments, please print out, read, and bring the relevant form with you so we can discuss it. Informed consent is needed for certain procedures. We want you to know why you are having/need a certain procedure, the options and alternatives of treatment available to you, and the potential risks and complications involved with each one.

 

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Todd Bonin DDS

Houston Dentistry - Dental Clinic - Dentist Office