No insurance?  Contact our office to learn more about our membership program!

Patient Forms


 

Please download, review, and complete the following forms prior to your visit and bring them with you at the time of your appointment so as to expedite your new patient registration process. If you have any questions about completing the form or providing the requested information, please do not hesitate to call us. Thank you! 

Patient Information Form

Patient's Medical History Form

HIPAA Consent Form

Airway Management Medical History Update

Preferred Contacts Form

Release of Medical Records

Notice of Privacy Practices

Consent for Dental Treatment of a Minor

 

 

 

Location

Lee Dental
6351 Preston Road, Suite 300
Frisco, TX 75034
Phone: 972-712-9000
Fax: 972-712-1941

Office Hours

Get in touch

972-712-9000