Health focused dentistry and orthodontics
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New Patient Forms

New patients can download their forms on this page by clicking the name of the forms below. The only 2 forms that do not need to be printed are the 2 yellow “Notice of Privacy Practices.” You only need to sign the form that acknowledges that you have read them. Please print either the set of adult or child forms according to the patients age for each new patient. After printing, filling out and signing the forms they may be either scanned and emailed to our office at info@victoriatxdentist.com or brought in with you at your appointment with us. We look forward to serving your dental needs, Thank You!

Please click the appropriate forms below and print them out:

You will need Adobe Reader to download the forms. If you need to install it, you can download it by clicking the link below: get_adobe_reader