Skip to content
Shine Dental
  • Home
  • Meet The Dentists & Staff
  • Dental Services
    • General Dentistry
      • Dental Checkups
      • Dental Cleaning
      • Root Canals
      • Laughing Gas Usage
    • Cosmetic Dentistry
      • Teeth Whitening
      • Veneers
      • Crowns
      • Braces
    • Restorative Dentistry
      • Dental Implants
      • Mini Dental Implants
      • Dental Bridge
      • Partials
      • Dentures
      • Bone Grafting
  • Dental Health
    • Oral Hygiene
    • Houston Pediatric Dentistry
    • Prophylaxis (Teeth Cleaning)
    • Dental Dictionary
    • Periodontal Maintenance
    • Dental Specialties
  • Forms
  • Request Appointment
    • Houston
    • Baytown
    • Mont Belvieu
Menu
Type and press enter to search
Home » New Patient Forms

New Patient Forms

If you are new to Shine Dental, please complete the Medical History form and bring the completed form with you to our office on your first visit.

Download English Form
Download Spanish Form

THREE LOCATIONS TO SERVE YOU BETTER

Houston

736 Telephone Rd.
Houston, TX 77023


Baytown

7599 Garth Rd., Ste 800
Baytown, TX 77521


Mont Belvieu

10857 Eagle Dr., Ste A
Mont Belvieu, TX 77523


Dental Health
  • Houston Pediatric Dentistry
  • Dental Dictionary
  • Dental Specialties
  • Oral Hygiene
  • Periodontal Maintenance
  • Prophylaxis (Teeth Cleaning)
General Services
  • Dental Cleaning
  • Dental Checkups
  • Laughing Gas
  • Root Canals
Cosmetic Services
  • Teeth Whitening
  • Braces
  • Crowns
  • Veneers
Restorative Services
  • Bone Grafting
  • Dental Bridge
  • Dental Implants
  • Dentures
  • Mini Dental Implants
  • Partials
About Us
  • Home
  • Meet The Dentists & Staff
Connect
  • Request Appointment
    • Houston
    • Baytown
    • Mont Belvieu
Shine Dental
© 2025 Shine Dental - All rights reserved - Customized by Johnnyo Theme by SiteOrigin
Scroll to top