(972) 254-2273
1107 South MacArthur Blvd
Irving, TX 75060
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″Dear Dr. Gulati, I wish to express my sincere appreciation for the outstanding treatment I received at my recent visit. You are the first dentist that has not caused me to suffer discomfort and pain during treatments. Thank you for the best dental care experience I have ever had. I now know I need not fear seeking treatment in the future.″
Harold E
″This has got to be the best clinic and staff there is! I love them and the are such personable people, their patients are not just a number but they remember them as a person.″
Chris
″ I have received the best medical and dental treatment at Cure With Care! Thank you for your excellent service and I will recommend your clinic to friends and family.″
Rudy
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Medical Forms
English
HIPAA CONSENT FORM
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES (INFORMATION FOR PATIENT)
REGISTRATION FORM
Espanol
FORMULARIO DE CONSENTIMIENTO DE HIPPA
LA NOTA DE PR_CTICAS DE INTIMIDAD
LA NOTA DE PR_CTICAS DE INTIMIDAD (INFORMACION DEL PACIENTE)
FORMA DE REGISTRATION
Dental Forms
English
HIPAA CONSENT FORM
NOTICE OF PRIVACY PRACTICES DENTAL
NOTICE OF PRIVACY PRACTICES (INFORMATION FOR PATIENT) DENTAL
PAYMENT FOR SERVICES DENTAL
REGISTRATION FORM DENTAL
AUTHORIZATION TO RELEASE DENTAL INFORMATION DENTAL
Espanol
FORMULARIO DE CONSENTIMIENTO DE HIPPA
LA NOTA DE PR_CTICAS DE INTIMIDAD DENTAL
LA NOTA DE PR_CTICAS DE INTIMIDAD (INFORMACION DEL PACIENTE) DENTAL
POLIZA DE PAGO DENTAL
FORMA DE REGISTRATION DENTAL
On Your First Visit for Comprehensive Exam
Dentist Dr Gulati will explain your diagnosis and treatment options available. Under most circumstances, the suggested treatment can be started the same day.
Please assist us by providing the following information at the time of your initial dental visit.
A complete list of all the medications you are presently taking.
Please alert the office if you have a medical condition that may be of concern prior to surgery (for example like Diabetes, high blood pressure , artificial heart valve and joints, or rheumatic fever) or if you are on any medications (aspirin, anticoagulant therapy) or require medication prior to cleanings (example - Antibiotic for pre-med).
Please remember that a parent or guardian must accompany all patients under 18 at the initial visit.