New Patient Forms

If you would like to complete your registration form before you arrive, you may download it by clicking below. The new patient form is in PDF format. If you do not have Acrobat Reader, get a free copy by clicking here. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

Welcome Letter

New Patient Form

Acknowledgement of Receipt of Notice of Privacy Practices

 

 

Location
Dental Center of Lakewood
6316 Gaston Avenue
Lakewood

Dallas, TX 75214
Phone: 214-823-5253
Fax: 214-389-5156
Office Hours

Get in touch

214-823-5253