TEXAS REDBUD DENTAL, PC
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  • Home
  • Office Hours/Location
  • About Us
  • Virtual Tour
  • Services Provided
  • Insurance/Financial
  • Patient Forms
  • Accessibility Policy
  • Contact Us
Forms to bring to first visit: Medical History, HIPAA Acknowledgement, Office Policy. 
Please note that all forms must be signed by a parent or legal guardian (or patient, if over the age of 18). The Medical History form has a space for the parent/guardian to give permission for other individuals to bring the child to dental appointments after the first visit. Please call our office at 214-585-0268 if you have any questions or need assistance to complete the forms.
Medical History (English/Spanish)
File Size: 106 kb
File Type: pdf
Download File

HIPAA Notice (English) - not necessary to print
File Size: 144 kb
File Type: pdf
Download File

HIPAA Notice (Spanish) - no es necesario imprimir
File Size: 232 kb
File Type: pdf
Download File

HIPAA Acknowledgement (English/Spanish)
File Size: 38 kb
File Type: pdf
Download File

Office Policy (English)
File Size: 24 kb
File Type: pdf
Download File

Office Policy (Spanish)
File Size: 41 kb
File Type: pdf
Download File


Consent forms for patients returning for dental treatment. Must be signed by a parent or guardian (or patient, if over the age of 18).
Treatment Consent (English)
File Size: 50 kb
File Type: pdf
Download File

Treatment Consent (Spanish)
File Size: 62 kb
File Type: consentsp
Download File

©Texas Redbud Dental, 2024
1575 Redbud Blvd
Suite 103
McKinney, TX 75069
(214) 585-0268
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