Patient Registration

For your first appointment you save time by completing your new patient forms below. All forms can be downloaded and filled out to bring to your appointment. If you have questions about our forms you can call us at (469) 577-1587. We are looking forward in seeing you for your Endodontic needs.

For English:

Patient Medical History


Financial Policy

Endodontic Consent

CBCT Consent

COVID Check List

For Spanish:

Historial Médico Del Paciente


Política Financiera

Consentimiento Endodóntico

Consentimiento CBCT Espanol