Patient Forms
From the first day you join our office, we will cater to your dental needs. As part of your first visit with us, you will fill out a comprehensive medical and dental history. These forms are important because they help us to determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications, etc.

For your convenience we've included these forms below. Click on the links to download and print out these forms at home, where you can fill them out at your leisure and bring them with you to your first visit.

Patient Information
Health History
Hippa

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Financial Policy
We are committed to providing you with high quality dentistry and our fees reflect our professional commitment to excellence.
For the convenience of our patients, we accept the following: cash, checks, visa, mastercard, amex, discover.

We offer easy payment plans through Care Credit with 12 months no interest payments, with approved credit check. Click on the following link for easy pre approval. www.carecredit.com/patients/apply.htm

In step one enter our phone number, 281-487-6453, then proceed with your approval..

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Insurance
As a courtesy to our patients, we will happily file your insurance for you.  Your co-payment will be due on the day of your procedure.

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