Online Payment
  • (214) 705-6600
Patient Forms
Online Payment
Patient Forms
  • (214) 705-6600

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
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aesthetic general dentistry of frisco tx logo
  • Aesthetic General Dentistry of Frisco
  • 9359 Legacy Dr, Ste 200
  • Frisco, TX 75033
  • 214-705-6600
CEREC one visit dentist dr chirag s patel dds in frisco tx
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  • 2020 Aesthetic General Dentistry of Frisco
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Patient Pre-Screening Form
All patients must complete this form the day of the scheduled appointment, and when the appointment is scheduled.
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