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Patient Forms

On your initial visit to our Bellmead, Waco, Hewitt, Harker Heights, Taylor, Temple, Belton, Copperas Cove and Killeen dental offices, you will have a chance to get acquainted with all of the services we offer while also getting introduced to our expert dentists as well as our friendly staff. We always strive for superior customer service, so do not hesitate in voicing any questions or concerns that might arise.

Before coming in for your appointment, please download our patient forms and complete them. This will provide us with the necessary information to ensure a quick and efficient visit. As always we are grateful that you have chosen our office to care for your dental needs and look forward to seeing you soon.

Download Our Forms

At our office, we are introducing a convenient way for you to save time by completing your paperwork online before arriving for your first visit. Simply click on each of the documents below and follow the instructions to get started. It is that easy; no more wasting precious minutes in waiting rooms.

Our forms have been divided into two distinct categories: one for English-speaking patients and another specifically designed for Spanish speakers. We also took your dental coverage plan into consideration, ensuring that you are provided with the appropriate form.

Please pay close attention to which forms you must complete based on your benefits coverage (PPO insurance, Medicaid/CHIP) and patient age. If you are unsure of the information required for your specific situation, feel free to reach out our Harker Heights or Harker Heights offices in central Texas for clarification.

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