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Patient Forms

In order to give you care that is personalized to your individual needs, we need to know about you and your medical history. If you are new to our practice, please print and fill out the following forms and bring them with you to your first appointment. We appreciate you working with us to ensure that you get the most efficient, quality care possible. Contact us online or call 210.824.0111 if you have any questions or concerns.

New Patient Registration Forms

  Dental Registration & History

  Medical Release

  Notice of Privacy Policy

Patient Consent Forms

  Bone Graft Information & Consent Form Osseous (Bone) Surgery/Sinus Lift

  Cavitation Surgery Patient Information & Consent Form

  Consent For Biopsy Procedure

  Crown Lengthening Information & Consent Form

  Gingival Augmentation Information & Consent Form

  Implant Information & Consent Form

  Instructions, Authorizations & Informed Consent for Intravenous Sedation

  Oral Conscious Sedation Instructions for Patients

  Root Amputation Information & Consent Form

  Temporary Orthodontic Anchorage (TAD) Information & Consent Form

  Tooth Extraction Information & Consent Form

Business Forms

  Business Associate Agreement

Our professional and gentle treatment of gum disease, cosmetic procedures and dental implants is personalized.

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