Wendy Swantkowski, DDS | Patient Forms in Houston

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Patient Forms

This is our growing collection of forms that patients should fill out prior to visiting our office. If you need to fill out a form, please click the appropriate link below to download it. Print the document and bring the completed form with you when you come in to see us.

All of our forms require Adobe Reader.

Medical History Form

HIPPA Authorization Form

Smile Evaluation Form


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Please do not submit any Protected Health Information (PHI).