Rush Creek Dentistry
A Great Dentist

New Patient Forms

For your convenience, we have supplied forms that can be filled on line. Click on the link below, complete the information and click the submit button. We will have them all ready for you when you make your first visit! We look forward to meeting you!

Please note: Forms will require a signature. If using an ipad or any touchscreen device, place finger on signature line and hold until a signature box pops up and sign.  If using a computer or laptop hold the left mouse button, drag and sign. Thank you!

New Patient (ADULT)

New Patient (CHILD)

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (817) 962-2323
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