Patient Forms

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Patient Forms:

Personal Information

Medical Health History (new patients)

Updated Health History (existing patients)

Additional Information for our Patients:

Pre-operative Instructions for Implant Patients

Post-operative Care for Implants

Daily Care of Dental Implants

General Information About Intravenous Sedation

Post-sedation Orders

Directions for Bleaching with At-Home Trays

General Information on Management of Ulcers

General Information for Patients with Dry Mouth (Xerostomia)

Patient Instructions Following Laser Periodontal Therapy

Nightguards - Nighttime protection against Bruxing and clenching

Bruxism - The Link Between Clenching, Headaches and Tooth Wear

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Contact us


Our Cosmetic Dental Practice is located in the famous Houston Medical Center Scurlock Tower located at:
6560 Fannin, Houston,Texas 77030
Please call us locally in the Houston area at
713-795-5905

or toll-free at: 888-790-0309

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