Patient Information Forms

Arlington TX Dentist Provides Personalized Care

Dental care in Arlington TXIn order to make your visit with Ted French, DDS, more enjoyable, please print out and complete the following forms:

  1. PATIENT HEALTH SURVEY
  2. dental_history
  3. dental_insurance_form
  4. dental_form_wellness
  5. dentist_cancellation_form
  6. general_dentistry_consent_form
  7. PRIVACY PRACTICES
  8. Proof of HIPAA privacy policy receipt
  9. patient_disclosure

Our dental forms are provided in Adobe .PDF format. Using most Internet browser applications, you can right click the links above and choose “save as” to save the file to your computer. Then just print and fill in the information at your convenience.

Bring the completed forms to our office on the date of your appointment, or fax them ahead of time to (817) 801-8095. Fill out the appointment form online or call (817) 461-2843 if you have more questions.

Dr. French and his staff look forward to meeting you!