Jaime A. Vergara, DDS, PA

Periodontal Practice with Emphasis on Dental Implants

3730 Kirby Drive Ste 601  Houston TX 77098       Phone 713 521 1444

 

 

What is a Dental Implant?

Adjunctive Implant Procedures
Unique Implant Techniques
Newsletters
Forms and Instructions

 

 

 

Forms and instructions

For your convenience, we have provided printable new patient forms and surgical forms. The new patient forms may be brought with you on your first visit or the day of the surgery.

Referring Doctors Form:

Referral Form

New Patient Forms:

Welcome Form and Policies

Personal information

Medical History

Office Directions

Surgical Forms:

Dental Implants

Bone graft

Extractions

Oral sedation

New Bisphosphonate form

Surgical instructions:

Pre surgical instructions

Post surgical instructions

 

 

 

 

 

 

 

 
 
 
 
 
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