New Patient Forms

Our New Patient Forms

Here are links to our patient forms. In order to begin your dental visit as quickly as possible, these forms should be filled out before your first visit. If you have any questions, please contact us.

New Patient Forms

Patients may read and/or fill out the information in advance if preferred. We also provide copies of this form at our offices. Select the link to your preferred Jamboree location.

North Freeway – Link to the new patient form >

Telephone Road – Link to the new patient form >

Willow Chase – Link to the new patient form >

FM 1960 – Link to the new patient form >

Bissonnet – Link to the new patient form >

Authorization for Minor Treatment (PDF)

This form authorizes a parent or guardian to take full responsibility for the child patient and future treatment decisions.

Authorization for Minor Treatment >

Español | Nuevo Formulario Paciente (PDF)

Los pacientes pueden leer y / o completar la información de antemano si se prefiere. También proporcionamos copias de este formulario en nuestras oficinas. Escoga el formulario de su oficina preferida.

North Freeway – Enlace para el formulario >

Telephone Road – Enlace para el formulario >

Willow Chase – Enlace para el formulario >

FM 1960 – Enlace para el formulario >

Bissonnet – Enlace para el formulario >

Español |Formulario de Consentimiento de los Padres

Este formulario autoriza a un padre o tutor para asumir la plena responsabilidad del paciente infantil y las decisiones de tratamiento en el futuro.

Formulario de Consentimiento de los Padres >

Meet Our Doctors

Our pediatric specialists and staff love children and are specially trained to put them at ease. We teach your children the proper way to take care of their teeth; but just as important, they learn that going to the dentist can be fun.

Dr. Spiger

Dr. Ana

Dr. Helson

Dr. Lee

Dr. Poindexter

Dr. Pisheh

Dr. Galvez

Dr. Goolla

Dr. To

Dr. Ton

Dr. Peiravani

Dr. Stacy

Dr. Mathew

We Love Hearing From Our Patients

Testimonials

Positive Feedback & Testimonials

Lovely people here, they are so nice and very patient with the kids. They make sure to interact with them and make them laugh. Kandice I believe her name was she is very sweet she made sure my son was comfortable while brushing his teeth and I love that. 100% recommend, moms bring your babies you will love it and enjoy the service here.

Best Children’s dentist possibly in the Houston area. My kids love going with him he makes visits so much easier. Dr Helson is very knowledgeable, honest kind, funny and never have had any issues with the work or treatment he has performed. All the staff is very accommodating and nice. In our last visit Marcos went above and beyond to help us and make us feel at ease.

Our son did amazing at the dentist. This is a proud moment for us as parents. After he cried all the way there, we finally calmed him down. The girls were amazing & made him feel safe. The doctor also treated him with care and love. Everywhere, relationships matter. He will forever remember his 1st big boy dentist experience.

This was an awesome experience….the office was very professional and the procedure was completed by Dr. Goolla and Marco quicker than I expected. They talked him through the procedure and kept him comfortable throughout and he went through this with flying colors. We received a thorough explanation after it was over and I was very impressed with their service. Would definitely recommend for children.

Such a cute environment! Receptionist were very friendly, Selena made our visit very thorough and special! very quick service! We found the perfect dentist for our little one.

New Patient Forms

Our New Patient Forms

Meet Our Doctors

Dr. Spiger

Dr. Ana

Dr. Helson

Dr. Lee

Dr. Poindexter

Dr. Pisheh

Dr. Galvez

Dr. Goolla

Dr. To

Dr. Ton

Dr. Peiravani

Dr. Stacy

Dr. Mathew

We Love Hearing From Our Patients

Testimonials

Positive Feedback & Testimonials

5 Amazing Locations in Houston, TX

North Freeway Office

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Telephone Rd Office

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Willow Chase Office

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FM 1960 Office

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Bissonnet Office

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¡Se Habla Español! We Accept Medicaid!

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