912 Boyd Road, Azle, Texas 76020 (817) 444.1763

PATIENT FORMS

The following forms are available for your convenience. Click on the page link you need. If you are a new patient, you will need all four forms. The form will download to your desktop so you can print it. Then, just fill the form out and either fax it to us at (817) 270-4076 marked ATTENTION: I'M VERY IMPORTANT or just bring them in at your appointment. It's up to you!

Info To Know My Smile History
Info To Know PDF My Smile History PDF
Handle Me With Me Care ADC Privacy Statement
"Handle Me With Me Care" PDF ADC Privacy Statement PDF
A portion of the information provided on this site was borrowed heavily from Mac Lee DDS, Joleen Jackson & Vicki Audette from www.ihatedentists.com
and the lectures of Howard Farran, DDS, MBA, MAGD.