Accessibility View Close toolbar
New Patient Forms

If you're a new client, please complete the following form and bring it to your first visit to our dentist office.

New Patient Form
Agreement to Pay for Treatment Form
Medical History Form
General Information


If you would like us to coordinate with another dental clinic to request x-rays, please complete these forms.

X-Ray Release Form
HIPAA Authorization Form


Newsletter Sign-Up

Be the first to receive office updates and promotion announcements!

Contact Us Today!

We look forward to hearing from you.

Our Location

7610 N. Western Ave | Oklahoma, OK 73116

Office Hours

Monday:

8:00 AM-5:00 PM

Tuesday:

8:00 AM-5:00 PM

Wednesday:

8:00 AM-5:00 PM

Thursday:

8:00 AM-5:00 PM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed