Midtown Dentistry Your First Visit

New Patient Dental Forms

Midtown Dentistry New Patient Forms

Dental Forms for Midtown Dentistry Patients

To make your first visit easy and to save you some time, we’ve posted our dental forms online for your convenience. You can either complete it online, but if you aren’t comfortable doing that, please download it and print it out. After you have completed it, please make sure to bring it on your first visit to our office.

New Patient Forms

To speed things up, choose one of our 3 office and fill out our secure, encrypted, and HIPPA compliant forms

Pearland


Pearland New Patient Form

All forms are secure, encrypted, and HIPPA compliant

Downtown


Downtown New Patient Form

All forms are secure, encrypted, and HIPPA compliant

Westheimer


Westheimer New Patient Form

All forms are secure, encrypted, and HIPPA compliant

I-10 at Ikea


I-10 at Ikea New Patient Form

All forms are secure, encrypted, and HIPPA compliant

Not Comfortable Doing That?

Click on the button below and you can then fill out the form and print it. Be sure to bring it with you on your first visit to our office

New Patient Form PDF

Information for your first visit

The next 2-forms are important facts about our your Privacy and our Insurance Policy Explanation – Please read them and call us if you have any questions

Video About Your First Visit

Watch this short video on what you can expect during your first visit to Houston’s No. 1 Dental offices – Midtown Dentistry

Need to Make an Appointment?

Call us at (713) 807-9877 or use the button below to Ask a Question or Schedule Your Appointment to have Dr. Jonathan Penchas or one of his expert staff examine your teeth.

Make an Appointment

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