(817) 732-6622
(817) 732-6622

New Patient

Step 1

Schedule your consultation

Step 2

Fill out your new patient forms and email the completed forms to info@smilefortworth.com.

  • New Patient Information PDF
  • Health History PDF
  • Orthodontic Consultation PDF
  • Financial Policy PDF
  • Privacy Notice PDF
  • Privacy Acknowledgement PDF

 

Please note: Our practice is a participating provider for Cigna’s Discount Savings Program. We are also happy to accept all dental PPO insurance plans. However, our office is considered out-of-network with insurance companies (with the exception of Delta with whom we are considered premier providers).

You are responsible for understanding the terms of your policy as relates to in- and/or out-of-network providers.

Step 3

Come in for your initial consultation where we will:

  • Review your dental and medical history
  • Provide a complete oral exam, with X-rays
  • Help you create a customized treatment plan
  • Discuss all financial information, insurance
    options and payment plans.

Step 4

After your consultation, we will
schedule your first appointment and
your doctor will begin your treatment!

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