Patient Forms

Prior to your first visit we will mail you a Welcome Packet that contains a health history questionnaire, office policies, and directions to the office. Please complete the health history form before your appointment. If there is not sufficient time to mail the packet before your appointment, you can print the necessary forms from the website by clicking the links below.

Download
Financial Policy 79 KB
Health History Questionnaire 207 KB
Privacy Practices 156 KB
Release of Records to AHDC 127 KB
Release of Records from AHDC 165 KB


Your initial exam will last approximately one and a half hours. We will provide a comprehensive head and neck exam, an oral cancer screening, and a jaw joint (TMJ) screening. We will check your gum health, take any necessary x-rays, provide oral hygiene instructions, discuss any recommended treatment, and answer any questions you may have. If the health of your gums is good and you are current on your cleanings, then we will also clean your teeth on this visit.  If time permits, we are willing to begin treatment on this day if it is so desired.

If you have any special conditions, requests, or questions please be sure to tell us about them at this first visit.

Technical Note:
The print button located at the bottom of the forms may not work on your computer. Once the information is typed into the form, you may need to select print from the file menu located at the top of your browser.

Our online forms use the Adobe Acrobat Plugin.
Please download the free plug-in from Adobe's website if it is not already installed on your system. It is important that you have the latest version, in order to open our forms.

 

  • Welcome
  • Office Tour
  • About Us
    • Meet the Dentist
    • Meet the Orthodontist
    • Meet our Staff
    • Our Philosophy
    • Our Policies
    • Our Technology
    • Financial Policy
  • Our Services
    • Orthodontics
    • Oral Surgery
    • Endodontics
    • Restorative Dentistry
    • Sedation Dentistry
    • Pediatric Dentistry
    • General Dentistry
    • Cosmetic Dentistry
    • Preventive Dentistry
  • Patient
    • Patient Forms
    • Testimonials
    • Post-op Instructions
    • Education
    • FAQs
  • Smile Gallery
  • Contact Us
    • Contact Us
    • Office Hours
    • Driving Directions
    • Appointment Request

Avondale Haslet Dental Center is located in Haslet, Texas and proudly serves the surrounding communities including Haslet, Saginaw, Aurora, Rhome, Justin, Keller, Avondale, Fort Worth, Alliance Corridor, Roanoke, Watauga, Newark, Blue Mound, Eagle Mountain and Northlake

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