Patient Forms

First Visit to South Texas Periodontal Associates

Please assist us at the time of your initial visit to our office by providing the following information:

• Your referral slip and x-rays from your dentist
• New Patient Forms

 

New Patient Forms

To ensure that we can deliver the best care possible, we recommend downloading, printing, and signing all of the new patient forms before your first visit.

Click each of the following links to open the PDF and then save it to your computer:

• Notice of Privacy Practices
• Acknowledgment of Privacy Practices
• Consent For Treatment
• Dental Benefit Claims Form
• Medical History Questionnaire