101 Dental Patient Forms

Click the links below to download new patient information, medical history, and consent forms.
Patients may bring in filled out forms to save registration time.
Feel free to email us at 101ortho@gmail.com if you have any questions.

101 Dental & Orthodontics Patient Information Form with Medical History (English)

101 Dental & Orthodontics Patient Information Form with Medical History (Español)

101 Dental & Orthodontics HIPAA Consent Form (English/Español Bilingual)

Insurance Financial Facts

101 Dental & Orthodontics Insurance Facts Form (en Español)

101 Dental & Orthodontics Insurance Facts Form (English)

Lewisville Dentistry and Orthodontics