Heights Pediatric Dentistry & Orthodontics

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About Us
Treatment
FORMS & CHARTS New Patients Returning Patients
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Contact
☎ (713)861-4000

Home/
About Us/
Treatment/
FORMS & CHARTS/
- New Patients
- Returning Patients
Events/
Resources/
Contact/
☎ (713)861-4000/

Heights Pediatric Dentistry & Orthodontics

Returning Patients

Home/
About Us/
Treatment/
FORMS & CHARTS/
- New Patients
- Returning Patients
Events/
Resources/
Contact/
☎ (713)861-4000/

RETURNING PATIENTS

Please complete the following forms prior to your appointment.

Returning Patient Health History Form

Credit Card Authorization

104 W. 12TH ST., STE. C., HOUSTON, TX 77008 • INFO@HEIGHTSPEDOORTHO.COM
713.861.4000

PHOTOS PROVIDED BY LITTLE BRANCH PHOTOGRAPHY