Emergency Dentist & Weekend Dentist | Irving Dallas Las Colinas Euless

New Patients

University Hills Dental Excellence provides the forms below to save you time at your first visit. For faster service, please print and complete all forms and bring them with you to your first appointment.

Forms & Policies

Tour Our Office

Patient Medical History
This form will contain your address and contact information, as well as a brief medical history.
Financial Agreement
This form provides information that includes our payment policies, insurance claims and missed appointments.
Notice of Privacy Practices Acknowledgement
This you form provides information about your privacy rights and how we use your protected health information.