Southlake Family Dentistry
   

New Patient Forms (Electronic only, do not print)

**If you are using a MAC pc, this will not work. There is a 30min time limit for completing the paperwork online. If you get any type of error message then the process did not work. You may try again or print out the forms. This needs to be done at least 1 day before your appointment.**

 

From the first day you join our office, we will cater to your dental needs. As part of your first visit with us, you will fill out a comprehensive medical and dental history. These forms are important because they help us to determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications, etc.

For your convenience we've included these forms below. Click on the links to download and print out these forms at home, where you can fill them out at your leisure and bring them with you to your first visit.

Patient Info Dental / Medical History Office Policy Consent Form

HIPAA Consent Form

Web Consent Form