We want to make your stay with us as comfortable as possible. For your convenience, we have a form available for download for you to fill out and bring with you to your appointment. If you are unable to fill out the form, prior to your appointment, please come 15 minutes early to your appointment.

Dental Patient Forms

There are a few ways you can get your forms to us:

  1. Fill the forms out via our NEW online PDF Form Filler:
  2. Fill out the forms in the Adobe® Reader software, sign it digitally, save the signed form and e-mail to info@katyteeth.com.
  3. Fill out the forms in the software, print, sign and bring them completed to your appointment.
  4. Print, fill out the forms by hand and bring them completed to your appointment.
  5. Fill them out by hand and fax them to us at 281-579-1808
  6. Fill them out by hand, scan them in, and send them as a PDF to info@katyteeth.com
  7. Fill them out and mail them to:
    Harrison & Bethke Family & Cosmetic Dentistry
    attn: new patient forms
    21715 Kingsland Blvd., #105
    Katy, TX 77450

If you have any questions, feel free to call us at 281-492-6064. We're happy to help in any way, and look forward to seeing you soon!