Dental Details with Dr. Vesna Arezina in Houston TX dentist
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Houston TX dentist Dr. Vesna Arezina New Patient Forms

Some of the new patient forms are in Adobe Acrobat (PDF) format.

Adobe ReaderIf you do not have Acrobat Reader, get a free copy by clicking on the icon here >>>>>

Click on the link to download the forms. Then print the forms, fill them out, and bring them with you on your first visit. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

 

Adobe PDFAdult Info and Health History (Acrobat PDF)>

Adobe PDFChild Info and Health History (Acrobat PDF)

Adobe PDFFinancial Responsibility Form (Acrobat PDF)

Acknowledgement of Receipt of Notice of Privacy Practices (web page)

 

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