Patient Forms

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our Fort Bend County family & cosmetic dental office, we look forward to assisting you with all your dental needs.

Patient Consent Form 

Health History Form

HIPAA Privacy  (Page1)

Acknowledgement of Notice of Privacy Practices

Patient Information Form


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.