Lakeside Dental

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

New Patient Form Front

New Patient Form Back

New Patient Preferred Contact Form

New Patient HIPAA Form

Consent for Anesthesia

Consent for Oral Surgery

Consent for Implants

Pre and Post Operative Anesthesia Instructions

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (281) 326-7117
View the ADA Accessibility Statement
We have been monitoring the latest information from the WHO, CDC, American Dental Association, and other resources, and are doing our part to mitigate the spread of COVID-19.
Due to changing regulations and availability of the PPE supply we are postponing any non-essential treatment until at least May 18.

We will continue monitor the situation and will post any updates on our website.
We are able to care for our emergency patients. 
Please call or text 713-540-5929 if you have a dental emergency.
We appreciate your understanding, and your trust and support over the years.  We are looking forward to resuming patient care as soon as possible and seeing you soon!
Take care of yourselves and others!
Your Team at Lakeside Dental