Fill out your forms online.

For your convenience and to provide you with a more efficient office visit, please complete the following forms online prior to your upcoming appointment. If you have any questions or need assistance with your forms, please call our office at 214-691-2404 or email us at email@northdallasdh.com.

Required Forms for North Dallas Dental Health Patients: Please Complete All Forms* Prior to Your Upcoming Appointment

FORM 1 ➤ Health History

FORM 2 ➤ Notice of Privacy Practices and Acknowledgement of Receipt

FORM 3 ➤ Consent Form: Biophosphonates

FORM 4 ➤ Consent Form: Use and Disclosure of Health Information

*unless otherwise indicated by our staff

If you have not yet scheduled an appointment, please do not fill out any forms.

Call our office and schedule your appointment today.