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Patient Registration Form


Please download and fill-out our Patient Registration Forms.

If you’d like to pay a visit to our dental clinic, we’d like to make sure that we’re fully prepared with important information so that you get a productive checkup. You can prepare for your visit in advance by filling out one of our patient registration forms. By completing this form and submitting it to us prior to your visit, you’ll save plenty of time and it also allows us to make arrangements ahead of time.

For your initial visit, we’d like to request that you bring your state ID or driver’s license along with you. If you have any questions about the patient registration forms or need help filling them in, don’t hesitate to give us a call.

New Patient Paperwork


Urgent Family Dentistry
2520 K Avenue, 180
Plano, TX 75074
Phone: 972-534-2449
Fax: 9724246543

Office Hours

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