Our Office Is Open
Online Payment
(214) 705-6600
Patient Forms
Home
About
Chirag Patel, DDS
Dental Technology
Patient Information
Patient Forms
Online Payment
General Dentistry
Periodontal Maintenance Therapy
TMJ Disorder Treatment
Tooth Extractions
Cosmetic Dentistry
Crown Lengthening
Restorative Dentistry
All on Four Implants
Bone Graft
Dental Crowns
Dental Implants
Dentures
Contact
Menu
Home
About
Chirag Patel, DDS
Dental Technology
Patient Information
Patient Forms
Online Payment
General Dentistry
Periodontal Maintenance Therapy
TMJ Disorder Treatment
Tooth Extractions
Cosmetic Dentistry
Crown Lengthening
Restorative Dentistry
All on Four Implants
Bone Graft
Dental Crowns
Dental Implants
Dentures
Contact
Online Payment
Patient Forms
(214) 705-6600
Home
About
Chirag Patel, DDS
Dental Technology
Patient Information
Patient Forms
Online Payment
General Dentistry
Periodontal Maintenance Therapy
TMJ Disorder Treatment
Tooth Extractions
Cosmetic Dentistry
Crown Lengthening
Restorative Dentistry
All on Four Implants
Bone Graft
Dental Crowns
Dental Implants
Dentures
Contact
Menu
Home
About
Chirag Patel, DDS
Dental Technology
Patient Information
Patient Forms
Online Payment
General Dentistry
Periodontal Maintenance Therapy
TMJ Disorder Treatment
Tooth Extractions
Cosmetic Dentistry
Crown Lengthening
Restorative Dentistry
All on Four Implants
Bone Graft
Dental Crowns
Dental Implants
Dentures
Contact
Patient Forms
For New and Current Patients
All patients must complete a medical history every 12 months, or more often if anything has changed.
It is extremely important that you answer these questions accurately.
On the day of your appointment, before arriving to our office, all patients must complete the
COVID-19 pre-screening form
.
If you have any issues submitting the patient forms, please
click here
to complete them.
HIPPA Authorization
HIPPA Authorization
Patient Pre-Screening Form
All patients must complete this form the day of the scheduled appointment, and when the appointment is scheduled.
Take Me There