New Patient Forms

Please fill out the following forms for your upcoming appointment. 


You may email them back to gagedental@ntin.net , fax them to 940-458-9001

Or, you can bring them with you to your appointment.



Medical History (pdf)

Download

Photo-Xray Release (pdf)

Download

HIPAA Consent (pdf)

Download

Office Policy (pdf)

Download

Patient Info (pdf)

Download