Patient Information Update Form

Thank you for choosing Liberty Hill Dental! If you are a current/returning patient of Liberty Hill Dental, please complete the following form prior to your upcoming appointment. If you have any questions, please contact our office.

If you are a NEW PATIENT, please complete the following forms:

0.1 New Patient Registration
0.2 Medical and Dental History Form
0.3 HIPAA Notice & Acknowledgement
0.4 Office Policies

If you are a RETURNING PATIENT, please complete the following forms:

0.1 Patient Information Update Form

IF YOU ARE COMPLETING YOUR ONLINE FORMS FROM A MOBILE DEVICE, PLEASE ENSURE YOUR WIFI CONNECTION OR CELL SERVICE SIGNAL IS STRONG.