New Patient Forms

New patient forms consist of 3 pages that must be filled out in its entirety and signed.

  • These pages are Patient Information, Financial Policy/Acknowledgement of HIPPA, and Dental Health History forms .

These forms can be mailed, faxed, or e-mailed, prior to your appointment. You can also bring these forms with you to your appointment along with a photo ID and your insurance card.

**IT IS YOUR RESPONSIBILITY TO KNOW WHO YOUR INSURANCE IS WITH AND WHAT YOUR INSURANCE COVERS.

**WE WILL DO OUR BEST TO VERIFY ALL BENEFITS, BUT YOU ARE RESPOSIBLE FOR ANY AMOUNT NOT PAID BY YOUR INSURANCE COMPANY.

**PAYMENT IS DUE AT TIME OF SERVICES UNLESS OTHER ARRANGEMENTS HAVE BEEN AGREED UPON BY YOURSELF AND THE STAFF OF "MAGNOLIA FAMILY DENTAL CARE."

Adult Patients & Children 14 Years or Older

Children Birth to Age 13 Years

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Hours of Operation

Our Regular Schedule

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:

8:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed