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Please print and fill out the following forms. You can bring them with you to your appointment,  fax them to (817) 431-8131 or scan and email them to dixdental@ident.com.  This will help us in making your check in process more effecient.

By clicking on the link below it will allow you to print all the forms.

 

PATIENT REGISTRATION

MEDICAL HISTORY

DENTAL_HISTORY

HIPAA NOTIFICATION

 

Thank you so much and we look forward to providing you with the best dental care.