Patient Forms

Below are links to your new patient forms. We provide both Spanish and English options for your convenience, and we invite you to fill them out prior to coming into the office. Please complete the forms to help reduce your wait time. We know that your time is valuable, and we do not plan to waste any of your time at our dental office in Tyler, Texas, which is why we ask you to complete the paperwork prior to your appointment. If you have problems locating or completing the forms, please feel free to call us at (903) 509-0505!


New Patient Packet English


New Patient Complete Packet Spanish
Spanish Adult Form
Spanish Minor Form
Spanish COVID Form


New Patient Forms

East Texas Dental Patient

We're here to help you get the perfect smile.

Our team strives to make your visit to our office in Tyler, Texas, as pleasant and as comfortable as possible with relaxation techniques, oral conscious sedation, and nitrous oxide sedation. Our office is bilingual and our doctors treat people of all ages—both adults and children.

We do not limit ourselves with the amount of education we learn or by the services we provide. We are happy to give you the radiant smile you have always wanted! To learn more about our practice give us a call at (903) 509-0505.

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