Echeverri Dental Center

Patient Forms

Filling out your patient forms in advance streamlines your experience with our dentists in Houston, TX, and saves you time at Echeverri Dental Center. For your convenience, our patient forms are available online. If you have questions or need assistance, please feel free to contact our dental team at (713) 956-8767.

New Patient Adult- English

New Patient Adult- Spanish

New Pediatric Patient- English

New Pediatric Patient- Spanish

Appointments Policy

Appointments Policy- Spanish

Notice & Authorization for Electronic Disclosure

Notice of Language Accommodation

Notice of Privacy Practices

Spanish Notice of Privacy Practices

Financial Agreement- English

Financial Agreement- Spanish

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (713) 956-8767
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