Get Social With Us

 



Download Our New Patient Forms

 

We have made our new patient forms available to you as Adobe Acrobat files for your convenience. You can print these forms and once complete, call to schedule an appointment and fax (972-673-0900) these forms to our office. If you prefer, you may also complete these forms in our office prior to your first appointment. We recommend Acrobat. Click on the Acrobat Reader icon below for a free download.

NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Omnibus Rule[...]
Microsoft Word document [91.0 KB]
Financial Policy
FinancialPolicy.pdf
Adobe Acrobat document [22.4 KB]
Patient Info
NEWPATIENTINFORMATION.pdf
Adobe Acrobat document [14.0 KB]
Medical History
MEDICALHISTORY.pdf
Adobe Acrobat document [16.8 KB]
Consent Form
DENTAL_TREATMENT_CONSENT_FORM.pdf
Adobe Acrobat document [25.0 KB]
HIPAA Omnibus Form
PRIVACYPRACTICES10-8-2013.pdf
Adobe Acrobat document [187.6 KB]
Print Print | Sitemap
© 2015 Lakeside Dental