Village Endodontics
Highland Village, TX
972-317-5300
  • Home
  • Patient Information
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Patient Registration
    • Endodontic FAQ
  • Instructions
    • Before Endodontic Treatment
    • General Instructions
    • After Treatment
  • Procedures
    • Root Canal Therapy
    • Endodontic Retreatment
    • Apicoectomy
    • Cracked Teeth
    • Traumatic Injuries
  • Meet Us
    • Meet the Doctor
    • Meet the Team
    • Advanced Technologies
  • Referring Doctors
    • Referral Form
    • Links of Interest
  • Contact Us
    • Contact Information / Office Map
Important information regarding COVID-19

Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Patient Registration
  • Endodontic FAQ

Patient Registration

Below are links to several forms that can be reviewed, filled out, and brought to your appointment to make the check-in process easier.

Click on the following links for forms that can be brought to your initial appointment:
-Medical History
-Acknowledgement of HIPAA (print and bring), HIPAA Privacy Notice (to be reviewed, not printed)

If treatment is to be done you may bring the appropriate forms found below:

-Financial Policy
-Consent form for Non-SurgicalRoot Canal Therapy
-Post Treatment Information
-Consent form for Surgical treatment
-Post Surgery Care
  • Home
  • Patient Information
  • Instructions
  • Procedures
  • Meet Us
  • Referring Doctors
  • Contact Us
  • Disclaimer
  • Sitemap

Village Endodontics • Address: 3000 Village Parkway, Suite 420 Highland Village TX 75077 • Phone: Highland Village Office Phone Number 972-317-5300 • Fax: 972-317-5311

Endodontic Website Design by PBHS © 2021