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(281) 444-4704

13303 Champion Forest Dr, Bldg 3, Houston, TX 77069

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  • Home
  • About
    • Dr. Mack Coker
    • Dr. Daniel Ho
    • Blog
  • Services
    • Gum Disease Overview
      • Gum Disease
      • Gum Disease Treatment
    • Non-Surgical Gum Disease Treatment
      • Deep Cleaning
      • Dental Hygiene and Periodontal Maintenance
      • Bite Adjustment
      • Arestin®
    • Surgical Gum Disease Treatment
      • Gum Surgery
      • Laser Gum Surgery
      • Regenerative Gum Surgery
    • Cosmetic Gum Surgery
      • Gum Grafting
      • Gummy Smile Treatment
      • Uneven Gum Margin Treatment
      • Pinhole Surgery Technique
      • Crown Lengthening & Gingivectomy
    • Dental Implants
      • Types of Dental Implant Restorations
      • Implant Abutment Placement
      • Immediate Dental Implant Placement
      • Teeth-in-a-Day / All-on-4® / Full-Arch Fixed Implant Teeth
      • Implant Denture
      • Gum Contouring Around Dental Implants
      • Implant Gum Disease Treatment
    • Bone Grafting
      • Dental Materials
      • Extraction Socket Bone Grafting
      • Jaw Bone Grafting
      • Maxillary Sinus Bone Grafting
      • Nasal Bone Grafting
    • Oral Surgery
      • Wisdom Tooth & Impacted Tooth Extractions
      • Tongue-Tie Release & Frenectomy
      • Excess Bone Reduction
      • Pre-Prosthetic Surgery Treatment
    • Surgical Orthodontics
      • Canine/Impacted Tooth Exposure
      • Orthodontic Anchorage Device
    • Oral Pathology
      • Oral Cancer Screenings
      • Oral Biopsy & Oral Medicine
    • Sedation Dentistry
  • Technology
    • Laser Treatment
      • Laser Therapy
      • Laser Gum Surgery/Laser Periodontal Surgery
    • Dental Imaging & Digital Dentistry
    • Oral Cancer Screenings
  • Smile Gallery
  • Testimonials
  • Patients
    • Patient Forms
    • Financing
  • Doctors
    • Doctor Referral Form
  • Contact
Menu
  • Home
  • About
    • Dr. Mack Coker
    • Dr. Daniel Ho
    • Blog
  • Services
    • Gum Disease Overview
      • Gum Disease
      • Gum Disease Treatment
    • Non-Surgical Gum Disease Treatment
      • Deep Cleaning
      • Dental Hygiene and Periodontal Maintenance
      • Bite Adjustment
      • Arestin®
    • Surgical Gum Disease Treatment
      • Gum Surgery
      • Laser Gum Surgery
      • Regenerative Gum Surgery
    • Cosmetic Gum Surgery
      • Gum Grafting
      • Gummy Smile Treatment
      • Uneven Gum Margin Treatment
      • Pinhole Surgery Technique
      • Crown Lengthening & Gingivectomy
    • Dental Implants
      • Types of Dental Implant Restorations
      • Implant Abutment Placement
      • Immediate Dental Implant Placement
      • Teeth-in-a-Day / All-on-4® / Full-Arch Fixed Implant Teeth
      • Implant Denture
      • Gum Contouring Around Dental Implants
      • Implant Gum Disease Treatment
    • Bone Grafting
      • Dental Materials
      • Extraction Socket Bone Grafting
      • Jaw Bone Grafting
      • Maxillary Sinus Bone Grafting
      • Nasal Bone Grafting
    • Oral Surgery
      • Wisdom Tooth & Impacted Tooth Extractions
      • Tongue-Tie Release & Frenectomy
      • Excess Bone Reduction
      • Pre-Prosthetic Surgery Treatment
    • Surgical Orthodontics
      • Canine/Impacted Tooth Exposure
      • Orthodontic Anchorage Device
    • Oral Pathology
      • Oral Cancer Screenings
      • Oral Biopsy & Oral Medicine
    • Sedation Dentistry
  • Technology
    • Laser Treatment
      • Laser Therapy
      • Laser Gum Surgery/Laser Periodontal Surgery
    • Dental Imaging & Digital Dentistry
    • Oral Cancer Screenings
  • Smile Gallery
  • Testimonials
  • Patients
    • Patient Forms
    • Financing
  • Doctors
    • Doctor Referral Form
  • Contact

Patient Forms

Patient Forms

New Patient?

Save time on your first visit at our Houston dental practice by completing our new patient forms from below! If you have any questions don’t hesitate to contact us!

HIPAA Notice of Privacy
Patient Registration & Health Questionnaire

Contact Us

Learn more about how you can benefit from our expertise and state-of-the-art technology. Contact our office today to schedule your first appointment.

Contact Information

Address

13303 Champion Forest Dr,
Bldg 3, Houston, TX 77069

Phone

(281) 444-4704

Hours

Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 5:00 PM
Friday 7:00 AM - 12:00 PM
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