Online New Patient Forms
We make ever effort to be prepared and make your visit with our office a great one. For that reason, we ask that you complete your paperwork at least 48 hours prior to your scheduled appointment. You are not required to print anything so simply fill out the forms and hit submit. We are able to immediately process the information and create your child’s chart, as well as verify insurance benefits.
To access the online forms in English, CLICK HERE.
New Patient Forms in Spanish
We are currently working to get our Spanish forms online; however, at this time, you must print the Spanish version and bring into the office with you.
CLICK HERE to download Spanish forms.
Online Updates for EXISTING Patients
Hospital Sedation Appointments
If your child has an appointment scheduled at either Texas Health Presbyterian Hospital – WNJ or Heritage Park Hospitals, then a “H&P” or History and Physical Form is required. Your child must be seen by their regular pediatrician within 30 days of their hospital appointment. Please download the following form to be completed by your child’s physician.
If you are a dentists office, please use the following form when referring patients to our office. Fax to the number on the form, and also make a copy to send with the patient. Thank you for your referrals!