New Patient Dental Forms

NEW PATIENTS

REGISTER AT ONE OF THE DENTAL OFFICES BELOW

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 PATIENTS

IMPORTANT INFORMATION FOR YOUR FIRST VISIT

IMPORTANT FORMS 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

  1. Notice of Patient Privacy
  2. Dental Insurance Policy Explanation

WATCH THE VIDEO BELOW

For Appointments

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.

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