ACCESSIBILITY
Call: (281) 440-3530

New Patients

Please bring a copy of your insurance card and driver's license with you to your first appointment. 

Also, a current list of all your medications, past medical problems, hospitalizations, and past surgeries is very helpful. 

If you choose to expedite your paperwork, you can download and fill out our required forms from this page.  Please complete and bring the first (5) forms only.  The last one is for read only regarding our office's privacy practices.

These completed forms, with front and back copies of your insurance card, may be faxed to us prior to your appointment at:  281-440-5580. 

THANK YOU and WELCOME!

Dental History

Patient Information Form  

Medical History  

Privacy Form   

Disclosure Authorization0001.pdf     

 

Notice of Privacy Practices   (Read Only)