4620 Citylake Blvd W

Fort Worth, TX 76132

(817) 985-3337

Call us today!

Form & Finances

Patient Form Downloads

Fort Worth Dental has posted all of our new-patient paperwork online in order to make it conveniently accessible. In a matter of minutes, you can easily download the forms and complete them at home. By bringing in the completed forms to your first appointment, your first visit will be smooth and simple at the front desk. Please contact our office if you encounter any difficulty while downloading the forms. One of our friendly and knowledgeable staff members will gladly provide assistance with the forms.

New Patient Health Form

New Patient Login Click Here
New Patient forms Click Here
Download Patient Information Form
For post operative instructions, click to download the form below.
LANAP Post Operative Instructions
Payment Options & Location

Financial Policies

Ability to pay is of deep concern to many dental patients. We share your concern and are prepared to offer you a number of payment options.
  • If you have dental insurance, we file claims as a courtesy for our patients.
  • We accept most major credit cards, including Visa, MasterCard, American Express, Discover and Care Credit.
  • Please note - Discounts and specials offers cannot be combined with any other discount or offer. Only one special offer or discount may be used per customer.

Make a Payment Online To your CareCredit Account

Need Dental Financing? CareCredit can help!

We are pleased to offer CareCredit to our patients. CareCredit is a convenient, no initial payment, low monthly payment plan for dental treatments of $1,000 to $25,000.

For more information about CareCredit, please click below for more information:

True No-Interest Plan

Our practice is pleased to present flexible payment plans through Lending Club Patient Solutions. Lending Club Patient Solutions offers:
  • Plans with low fixed rates & low monthly payments
  • Patient-friendly, True No-Interest Plans
  • No upfront payments
  • No prepayment penalty
It’s easy to calculate your potential monthly payments. Simply complete a short application which displays fixed rates and monthly payments available for Extended Plans, all without impacting your credit score.
For more information, simply ask a team member or visit lendingclub.com/patients.
Check Your Rate
Payment Calculator

We accept

Most insurances accepted
Care Credit – Interest free payment plans

Special Financing - for Invisalign® Financing ONLY

Fort Worth Dental

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Days Time
Monday 9:00am – 5:00pm
Tuesday 9:00am – 6:00pm
Wednesday 7:00am – 5:00pm
Thursday 9:00am – 6:00pm
Friday 7:00am – 2:00pm
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