If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Form #1    New Patient Medical and Patient History (2 pages)

Form #2    Office Financial Policy

Form #3    HIPPA

Form #4    Medical History

Form #5    Consent To Accompany A Minor

Form #6    Panorex Consent Form (for patients of record)

Form #7    Asthma Update

Form #8    Covid 19 Forms

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

About Us

Our entire team is dedicated to providing your child with the personalized, gentle care that they deserve.

Working Hours

Mon-Thurs: 8 AM – 5 PM
Friday: 8 AM – 12AM
Saturday , Sunday Closed
Emergency Available!


Contacts

1220 Clear Lake City Blvd
Houston, TX 77062
Phone: (281) 480-8877