Patient Information

Patient Information
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New Patients
Before we begin the treatment process, we must first collect information regarding your medical and dental history, and assess your current condition. This information allows us to most accurately determine a treatment plan and customize your treatment. If you would like to fill out this paperwork prior to your free new patient exam, please click on the appropriate health form, print it out and complete it, and bring it with you to your appointment. If you need an appointment, call us at (817) 522-7358 to schedule your free new patient exam.
This information allows us to most accurately determine a diagnosis and customize your treatment as necessary. Do not delay in seeking the orthodontic treatment you need. Call us at 817-522-7358 and schedule an appointment today.
We accept health savings accounts. We also offer no-interest payment plans.
Payment Methods – Check or Cash Accepted


Downloadable Forms:

Medical History – Adult

Medical History – Adult (Spanish)

Medical History – Child

Medical History – Child (Spanish)


We accept health savings accounts. We also offer no-interest payment plans.
Payment Methods – Check or Cash Accepted

New Patients

Payment Methods – Check or Cash Accepted

Downloadable Forms:

Payment Methods – Check or Cash Accepted

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