12607 Jones Road, Houston, Texas 77070
(281) 469-6281
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New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

We also have an online version of our new patient registration, medical and dental health history form, which can be filled out here:

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Houston dental office and we will gladly send or fax them to you.


Download Adobe Acrobat Reader Now

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12607 Jones Road, Houston, TX 77070 USA
Cher L Rich DDS (281) 469-6281 (281) 469-6291 shay@cherrichdds.com