Klein Dental Center    

In order to save time and expedite your first visit to our office, the following forms are available to download, print, fill out and sign before coming to our office. Please click the following links below.

(Documents are in Word and PDF form for our patient's preference)


New Patient Health History - Word Format

New Patient Health History - PDF Format

General Informed Consent - Word Format

General Informed Consent - PDF Format

Finanical Policy - Word Format

Financial Policy - PDF Format

Please read the following information before signing the HIPPA forms below.  Please click here for Word FormatPlease click here for PDF format.

HIPPA Acceptance to Sign - Word Format

HIPPA Acceptance to Sign - PDF Format





© Images contained in this website are protected by copyright and may not be downloaded, republished, retransmitted, reproduced or otherwise used as a stand-alone file.