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New Dental Patients

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Patient Forms

If you are a new patient to our children's dental offices, please use the forms button below to download and fill out your new patient information. Filling these forms out prior to your appointment will allow us to tend to you more quickly than completing them at your arrival.

Please DO NOT sign any forms until you arrive at the office for your appointment. New patient forms MUST be signed in the presence of an Midland Dentistry 4 Kids employee.

Thank you and please call our office if you have any questions at all.

Notice of Privacy Practices

New Patient Forms

Texas First Dental Home (FDH) Documents
(for children 3 and under)

Dental Risk Questionnaire Risk Assessment Tool Visit Documentation

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