Phone: (972) 313-5285

PATIENT FORMS

We have made all of our patient forms available to you in one location as Adobe Acrobat files. For your safety and convenience, we recommend printing and completing these forms in the comfort of your home. 

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office, and we will gladly send or fax them to you. 

Pre-operative Instructions for Dental Anesthesia Surgery Medical History Update Form Medical Consultation for Dental Surgery Disclosure & Consent for Dental Surgery Nerve Injury Disclosure & Consent Post-operative Instructions Following Dental Anesthesia/SurgeryAcknowledgment: Receipt of Notice of Privacy PracticesCOVID-19 Questionnaire

In addition, the following miscellaneous forms may also be required. Please check with your dentist or with Dr. Patel to confirm: 

Anesthesia Consent FormBisphosphonates Consent FormCoronectomy Consent Form


 

vijay@vijaypateldmd.com

Contact Dr. Patel

(972) 313-5285