Patient Forms

Bellaire location patients: please complete the relevant electronic forms.

Patient Account Access

New Patient Forms

COVID 19 Patient Screening

Pearland location patients: please download and complete the following forms:

Health Questionnaire

HIPAA Form

Post Op. Instructions for Implant Surgery

Implant Consent Form

Referral Form

COVID 19 Patient Screening

A Smile is Confidence

Houston Dental Implant Center, a Digital Smile Design Certified Clinic, is committed to delivering the highest level in Dental Prosthetics.