Medical & dental history
Information about your health history and dental care.
Open history form (PDF, 2 pages)
Before your visit
Download the forms below to prepare for your visit. If you are unsure which paperwork you need, our team can help. Please confirm that you have the current forms before completing them.
Information about your health history and dental care.
Open history form (PDF, 2 pages)The office's HIPAA consent and acknowledgment form.
Open privacy form (PDF, 1 page)Review payment and cancellation information with our team before signing.
Open financial policy (PDF, 1 page)Call 915-289-2301 for help or an accessible alternative. Please bring completed forms to your appointment or ask the office for its secure submission method. Do not send completed health-history forms through the website's general appointment-request form.
For other registration paperwork, please contact the office.