1355 W Gray St, Houston, TX 77019
Monday – Friday 8:00 AM – 5:00 PM

Schedule an Appointment Today

713.352.3288

Helpful New Patient Forms

New Patient Forms

Our Houston Dentists are Looking Forward to Helping You

Dentiq Dentistry welcomes you to our practice and recognizes the level of trust you give us. We want you to know that we are prepared to go to great lengths just to give you the best oral care solutions for you and your family. From general preventative care to cosmetic dentistry and restorative services, we are dedicated to delivering the care and attention you deserve from your Houston dentist. Let us know how we can improve your overall dental experience, we have a variety of features including our advanced, cutting-edge technology as well as sedation services for your comfort and convenience.

Fill out the form below so we can get started with your oral needs!

Our friendly staff, dentists, hygienists, and specialists are all looking forward to starting a lifelong professional relationship with you and your family. Contact our office at (713) 352-3288 for any questions or concerns.

Simply fill out the form in the space below. Once you've completed it, move your cursor to the top right corner of the form window and a print icon will appear. Click on the icon to print the form, then bring it with you to your next office visit.

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