Patient Center - Dallas, TX

New Patient Forms

patient filling out dental forms Lafayette IN

Patient CENTER

You may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditonal healthcare forms in our office.

When you are ready to begin, click the “Register Online Now” button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.

On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Additional Forms

Technical Note:

You need Adobe Acrobat Reader to view our forms. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.

First Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.

Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any X-rays if applicable
  • A list of medications you are presently taking
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT:

All patients under 18 must be accompanied by a parent or guardian. A pre-operative consultation and physical examination is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink 6 hours prior to your surgery. You will need an adult to drive you home.

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)

X-Ray

If your dentist or physician has taken panoramic x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

READY FOR THE SMILE OF YOUR DREAMS?

Contact our team today!