Register With Us To Become A Patient

At The Tooth Place Brownsville!

Print Registration Forms

Imprimir Formas de Registro

Register Online

Registrate en Línea

Please click on the “Online Patient Registration Forms” link below to begin our registration process. There are three (3) forms that need completion.

1. New Patient Information Form

2. New Patient Medical History

3. Authorization to Bring In

Favor de oprimir “Formularios de Registro de Pacientes.” Hay tres (3) formas digitales para llenar.

s1. Información De Paciente Nuevo

s2. Nuevo Paciente- Historial Médico

s3. Autorozacion para trae