Harlingen Dentistry

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

 

New Patient Forms

 

 

New Patient Forms - Available to Print

Please print and bring these completed forms if you prefer not to fill out our online forms. 

Notice of Privacy Practices

Notice of Nondiscrimination

Language Assistance Services

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If you have difficulty using our website, please email us or call us at (956) 428-5566
View the ADA Accessibility Statement