Important Information For You
Patient information on the effects of certain foods or herbs that may alter Warfarin activity or contain anticoagulant and antiplatelet properties.
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Smiling Increases Your Face Value
As part of our partnership dentistry, we want you to have all necessary information from requesting an appointment to financing your services to helping you understand your dental procedures. Please click on subjects below:
State-of-the-Art equipment, knowledge, and experienced dental professionals make a successful combination.
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- Surgical services
- TMJ and TMD Splint Therapy
- Oral Surgery
- Oral Cancer
- Congenitally missing teeth
- Sleep Apnea Treatment
- Accidents and Trauma
If you are a new patient at Councill and Glass Dental Group, please print out the forms below and bring them with you to your first appointment. Instead of spending a lot of time in the waiting room filling out forms, you can see your Cypress, TX, dentist much sooner. There are three forms to choose from: New Patient Forms, TMJ Patient Forms, and Wisdom Teeth Forms.
The New Patient forms and Wisdom Teeth forms will simply need to be printed and filled out. The TMJ form can actually be filled out and submitted online prior to your visit.
Our questionnaire consists of 5 documents. To complete a document, simply fill out the fields with the requested information. While most of the fields are optional, certain fields, marked by asterisks, must be completed. When you have completed a document please review your entry, click the Submit button to move to the next document. Please don't use your browser's Back or Forward buttons. Use of these buttons may undo or redo your recent actions and may result in errors.
Please note that the information you will submit will be encrypted for your protection and goes directly to our office. We appreciate the time that you will spend providing the information helping us prepare for your visit.
New patient forms are emailed to new patients as first-time appointments are made. Please complete the form electronically and send to our office prior to your first visit. If you cannot complete the form prior to your first visit, please arrive at least 15 minutes before your scheduled appointment and we will help you complete it in the office.
If you are an existing patient and need to update your contact information, insurance, etc., please call or email our office and we can send a Patient Information Update form to you via email.
Please note that the electronic forms you submit are sent directly to our office and are encrypted for your protection. We appreciate the time that you will spend providing the information helping us to prepare for your visit.
Thank you and please call our office (281) 376-9246 or email to firstname.lastname@example.org if you have any questions.