FOR PATIENTS

Following are patient forms to connect you with our practice.

PATIENT FORMS

Patient Medical History

LAUNCH FORM

Medical Release Special Authorization Form For Minors

LAUNCH FORM

Notice Of Privacy Practice

LAUNCH FORM

Patient Registration

LAUNCH FORM

Patient Partnership Agreement

LAUNCH FORM

What Our Patients
are Saying

We love this place so much, that we drive about 40 minutes to come here. The staff and dentists are always so sweet and very calming to my very active children.

Heather H.

This was my daughter’s first dental appointment. Every staff member, from the front desk ladies to the lady that walked us out after giving my daughter a balloon was so friendly and professional! I give this place a 5 out of 5 rating!

Kelsee G.

Great place. Dr. Barnett is awesome! Was able to do two fillings without gas or needles. No pain!

Mike R.

Best place ever... everyone is so nice and they can always get you in. My kids are 5 and 9 and started coming when they were a year.. would never go anywhere else.

FOR PATIENTS

PATIENT FORMS

Patient Medical History

Medical Release Special Authorization Form For Minors

Notice Of Privacy Practice

Patient Registration

Patient Partnership Agreement

What Our Patients
are Saying

Heather H.

Kelsee G.

Mike R.

Amanda M.

Fort Worth

Patient Forms

FOR PATIENTS

PATIENT FORMS

Patient Medical History

Medical Release Special Authorization Form For Minors

Notice Of Privacy Practice

Patient Registration

Patient Partnership Agreement

What Our Patients are Saying

Heather H.

Kelsee G.

Mike R.

Amanda M.

Fort Worth

Patient Forms

What Our Patients
are Saying