Patient Forms

If you are a new patient at Councill Dental Group, please print out the following forms and bring them with you to your first appointment. Instead of spending a lot of time in the waiting room filling out forms, you can see your Cypress, TX, dentist much sooner. There are three forms to choose from: New Patient Forms, TMJ Patient Forms, and Wisdom Teeth Forms.

The New Patient forms and Wisdom Teeth forms will simply need to be printed and filled out. The TMJ form can actually be filled out and submitted online prior to your visit.

NEW PATIENT FORM – ADULTS

NEW PATIENT FORM – CHILDREN

TMJ FORM

WISDOM TEETH FORM

ORAL IMPLANT FORM

About Your Cypress Dentists:

With their shared beliefs in the power of continuing education, innovative technology, and advanced training, Dr. R. Terry Councill, Dr. Jonathan Glass, and the Councill Dental Group team possess the skill and experience to address all your dental care needs so your family can enjoy a lifetime of healthy smiles. Whether you need a checkup and cleaning, a new dental crown or filling, cosmetic smile enhancement, dental implants, or a straighter, more attractive smile with Invisalign, you can feel confident that you'll receive the very best care. Contact our Cypress dental office today at (281) 376-9246 or request and appointment online. We proudly serve individuals and families from Cypress, Houston, Spring, Tomball, Magnolia, The Woodlands, and the surrounding communities.