Patient Forms

Printable Patient Forms

The below patient forms can be printed and completed before your visit to Texas Choice Dental. Please bring the completed forms with you during your appointment.

• New Patient Form / Health History Form
• HIPAA Form
• Composite Filling Consent Form
• Extraction Consent Form
• Minor Informed Consent Form
• Nitrous Oxide Consent Form
• Periodontal Maintenance Consent Form
• Sealants Consent Form
• Root Canal Treatment Consent Form
• Stainless Steel Crown Consent Form
• General Consent Form
• Anesthesia Consent Form
• Crown / Bridge Consent Form
• Full / Partial Denture Consent Form
• Whitening Consent Form
• Deep Cleaning (Periodontal Scaling & Root Planing) Consent Form
• Extraction Post Op
• Pulpotomy Consent Form
• Veneer Consent Form
• Final Cementation Consent Form