Please download, print and complete both the Patient Registration and Medical History forms below, and bring them at the time of your first office appointment.

Patient Registration - Download PDF (68K)

Medical History - Download PDF (88K)

Medical History (Spanish)- Download PDF (96K)

Scheduling Policy
The office is open Monday through Thursday from 7:00am until 4:00pm. We will attempt to schedule your appointment as soon as possible. If you are experiencing significant pain and do not feel like you can wait for a scheduled appointment, please inform the staff. Every attempt will be made to see you the same day.

Due to the nature of this practice, we see emergency patients regularly. We make every effort to remain on schedule, but occasionally there will be a slight wait. Please be prompt for your appointment as a courtesy to our other patients. We reserve the doctor’s time exclusively for you. If you must reschedule, please give us 24 hrs. notice if possible.

Please call 817-261-8220 for scheduling or any questions.

Financial Policy
Your insurance coverage is a contract between you and your insurance company. You are responsible for the payment to this office. Our office will file your insurance claim as a courtesy to you. We will attempt to verify all coverage prior to treatment. If this cannot be done, payment in full will be requested at the time of treatment. We offer Care Credit plans for our patients.

We participate in Delta Dental insurance plan, but will collect co-payment on other types of insurance. The co-payment requested at the time of treatment is based on our knowledge with previous insurance claims.

We accept Mastercard, Visa, American Express, and Discover. If you have any further questions regarding payment, please contact our office at 817-261-8220 during business hours. Financial arrangements need to be arranged prior to your appointment for treatment.

Privacy Policy (HIPAA)
View HIPAA Policy here

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