(254) 442-2000·700 Conrad Hilton Boulevard, Cisco, TX·Prevention-first dental care
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New patients

New Patient Forms.

Complete your paperwork securely online before your visit — from any phone, tablet, or computer. It takes about 10–15 minutes and saves time in the chair on your first appointment.

Before your first visit

Complete your forms online.

The secure link below currently includes:

  • Patient Registration — your contact and responsible-party information.
  • Health History — medical conditions, medications, and allergies.
  • HIPAA Acknowledgment — receipt of our Notice of Privacy Practices.

Your information is submitted directly and securely to our practice-management system (Open Dental). It is not collected or stored on this website.

Begin Secure Forms ↗ Call (254) 442-2000

Prefer paper? You're welcome to complete everything at the office — just arrive about 15 minutes early.