Registration

New patients · DFWOMS

New patient
registration

Complete your forms online before your visit — secure, fast, and ready for your signature on the day of your appointment.

Patient Registration Irving · Mesquite · Ennis HIPAA-Compliant Medicaid Accepted
Patient registration

Register by location

Select your nearest office to access the correct patient registration form.

Flagship
Irving
Las Colinas · Main office

2727 N. O’Connor Rd
Irving, TX 75062

(972) 594-7414
Irving patient form Call to register
East DFW
Mesquite
East DFW

2101 N Belt Line Rd Suite B
Mesquite, TX 75150

(972) 270-6617
Mesquite patient form Call to register
South DFW
Ennis
South DFW · Ellis County

2200 W. Ennis Blvd Suite B
Ennis, TX 75119

(972) 875-7616
Ennis patient form Call to register
Your first visit

What to bring to your first visit

Your initial appointment is a consultation to review your diagnosis and treatment options. In some cases, surgery can be performed the same day.

Your referral slip and any X-rays, if applicable

A complete list of your current medications

Your insurance card and any completed insurance forms

A parent or legal guardian if the patient is under 18 years of age

Payments & coverage

Financial policy

We work to make your care accessible. Payment is due at the time service is rendered.

Accepted payments

We accept Visa, MasterCard, American Express, and Discover. Flexible financing options are available through our lending partners.

CareCredit LendingClub
Insurance & Medicaid

We accept Medicaid and work with most major dental insurance providers. If you have questions about coverage or payment options, call us before your appointment — we’re happy to help.

Privacy & HIPAA

Your information is protected

Your personal and medical information is handled in strict accordance with HIPAA guidelines.

Privacy notice

Your personal and medical information is protected in accordance with HIPAA (Health Insurance Portability and Accountability Act). We do not share your information without your consent.

Ready to schedule?

Visit any of our three
DFW locations.

Irving, Mesquite, and Ennis — same-week appointments available. Our team is here to help you get started.

Scroll al inicio