Patient Forms
Prepare for Your Visit
At Flossmore Dental, we strive to make your appointment as efficient and stress-free as possible. To help streamline your check-in process, we encourage patients to complete the necessary forms before arriving for their appointment.
Please download and complete the forms below prior to your visit.
Patient Registration Form
Provide your personal information, contact details, insurance information, and emergency contact information.
Dental & Medical History Form
Help our team better understand your dental and medical history so we can provide safe, personalized care tailored to your needs.
Acknowledgement of Receipt of Notice of Privacy Practices
Review and acknowledge our privacy practices regarding the use and protection of your personal health information.
Completed patient forms
Valid photo identification
Insurance card (if applicable)
List of current medications
Any relevant medical records or dental information
What to Bring to Your Appointment
To ensure a smooth check-in process, please bring:
New Patients Welcome
Whether you’re visiting us for preventive care, restorative dentistry, Invisalign®, or cosmetic treatments, our team is committed to providing exceptional dental care in a comfortable and welcoming environment.
We are proud to serve patients of all ages throughout Richardson and the surrounding communities.
Need Help Completing Your Forms?
If you have questions about any of the required paperwork, our team is happy to assist you before your appointment.
Questions? We’re Here to Help.