Tel.: 817-481-6888 ~ Fax: 817-251-19992321 Highway 26, Suite 100, Grapevine, Texas 76051

New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Grapevine dental office and we will gladly send or fax them to you.

Notice of Privacy Practices

Please Fill out and bring in the forms below to your appointment.

New Patient Information Form
Financial/Insurance Information Form
Things You Should Know About Dental Insurance
Patient Medical and Dental History
HIPPA Consent Form


Download Adobe Acrobat Reader Now

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