Patient Form Downloads
Fort Worth Dental has posted all of our new-patient paperwork online in order to make it conveniently accessible. In a matter of minutes, you can easily download the forms and complete them at home. By bringing in the completed forms to your first appointment, your first visit will be smooth and simple at the front desk. Please contact our office if you encounter any difficulty while downloading the forms. One of our friendly and knowledgeable staff members will gladly provide assistance with the forms.
New Patient Health Form
Download Patient Information Form
New Patient Login: Click Here
New Patient forms: Click Here
For post operative instructions, click to download the form below.
LANAP Post Operative Instructions
Financial Policies
Payment Options & Location
Ability to pay is of deep concern to many dental patients. We share your concern and are prepared to offer you a number of payment options.
- If you have dental insurance, we file claims as a courtesy for our patients.
- We accept most major credit cards, including Visa, MasterCard, American Express, Discover and Care Credit.
- Please note - Discounts and specials offers cannot be combined with any other discount or offer. Only one special offer or discount may be used per customer.
Make a Payment Online To your CareCredit Account
Need Dental Financing? CareCredit can help!
We are pleased to offer CareCredit to our patients. CareCredit is a convenient, no initial payment, low monthly payment plan for dental treatments of $1,000 to $25,000.
For more information about CareCredit, please click below for more information:
True No-Interest Plan
Our practice is pleased to present flexible payment plans through Lending Club Patient Solutions. Lending Club Patient Solutions offers:
- Plans with low fixed rates & low monthly payments
- Patient-friendly, True No-Interest Plans
- No upfront payments
- No prepayment penalty
It’s easy to calculate your potential monthly payments. Simply complete a short application which displays fixed rates and monthly payments available for Extended Plans, all without impacting your credit score.
For more information, simply ask a team member or visit lendingclub.com/patients.
We accept:
- Most insurances accepted
- Care Credit – Interest free payment plans
Special Financing - for Invisalign® Financing ONLY:
