Patient Forms are currently unavailable.

Several forms must be completed prior to your first visit at our office.  Please take a moment to print each form below, fill out the information it requests, and bring with you to your appointment.   

If you are making appointments for more than one individual, each of the following forms are required for each person being seen.  This will save you 15 to 20 minutes at your first visit.  Thank you for your cooperation.

    2009 Patient Information

    2009 Health History Form

    2009 HIPPA Notice

    2009 HIPAA Receipt

    2009 Office Guidelines

 

  Killeen Dental Health Center     1405 East Elms Road     Killeen, TX  76542    (254) 519-4700