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NEW PATIENTS

Our New Patients

Your First visit to Agape Dental Care involves a few special steps so that we can get to know you. Your initial appointment will consist of a consultation explaining your diagnosis and treatment plan options. You can also save some time by printing out and completing the patient forms in advance of your appointment. 

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Please provide the following information at your first visit: 

  • ​Photo ID ​

  • Insurance Information

  • List of medications you are presently taking 

Patient Form

Please Print and Fill the form below so we can expedite your first visit: 

© 2017 by Agape Dental Houston

Site Created by Susie Zhang

Modified by Alyssa Cheung

11205 Bellaire Blvd, Suite B-23

Houston, TX 77072

agapedentalcarehouston01@gmail.com

Phone: (281) 568-3985

Fax: (281) 568-3954

 9:00AM – 6:00PM

  Closed

9:00AM – 6:00PM

Closed 

9:00AM – 6:00PM

9:30AM – 5:00PM

Closed

Monday

Tuesday

Wednesday:   

Thursday:                               

Friday:                                     

Saturday:                           

Sunday: 

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