Patient Forms

Ready to Get Started?

Your smile goals are our smile goals. We have all the bases covered to help you achieve greatness through dentistry. Whether you’re looking for preventative, family, cosmetic, or restorative dentistry, our dentists in Grand Prairie, Texas are able to help.

Here are your options for making sure these forms get to us:

  • Download the PDF, fill it out electronically, SAVE the PDF to your phone/computer, then email the form to
  • Download the PDF, print it at home and fill it out, then bring it to your appointment.

Please note: All information is processed and stored securely. Also, PLEASE remember to email your filled out form to

Filling out the PDF electronically without emailing it to us is not a submission and it will unfortunately not get to our front desk team.

If you have questions about our forms, please call us at (972) 433-7970. We are always happy to help you.

Patient Form

Why Choose Us?

Complete Dental Care
  • Experienced & Compassionate Staff

    Our family is here to help your family! Our experienced team helps patients of all ages, with any dental needs.

  • One-Stop Shop For Your Dental Needs

    To provide our patients with confidence and convenience, our team is highly trained to handle any dental procedure.

  • State of the Art Technology

    Our office is equipped with the latest dental technology, so our patients receive precise and accurate care.

  • High Quality Surgical Care

    Our dentists are trained in advanced comprehensive surgery to ensure that our patients receive quality care.

Your Smile Begins Here


We're Ready to Help

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