Complete New Patient Forms Online
Made For Your Convenience
New patients have the option to submit our forms completely online to save time during your first appointment. All you need to do is download the form, fill-out the necessary information, and upload it with your name and email below.
If you would like to fill the form at our office we ask that you please arrive at least 15 minutes prior to your appointment. Alternatively, you can download the form, fill-out your details, and bring them with you to your first visit.
You will need to provide the following:
- Contact Information
- Emergency Contact Information
- Insurance Information
- Medical History
- Dental History
- A list of current medications
At the bottom of the document you will also see our general consent, patient rights, uses and disclosure forms to sign and date, as well as our cancellation policy.
Contact us online if you have any additional questions on how to download and upload our new patient forms, or call us at (505) 835-2322.
The Dental House Experience
See What Patients Are Saying-
“We will definitely be planning our travels accordingly so we can always come back and get our teeth taken care of here instead of going anywhere else! Seriously, the nicest staff, you will feel like family!”
- MParsons -
“I have never received the compassion and respect that Dr. Park and her amazing team deliver. For the first time ever I was treated like a person, not just a patient.”
- JMarshall -
“After just one visit I dare you to try and find another family who cares more about your dental needs than dr Rachel park and staff the word perfection comes to mind don’t delay see them today.”
- Jd.
Dental House
Why We're Your First Choice-
The Go-To for All Your Dental Needs
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Focused on Patient Safety & Care
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Most Treatments Done In-House
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Most Insurances Are Accepted
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Platinum Discount Plan Available
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Top-Quality Care That's Affordable
Our highly experienced team is ready to care for you and your whole family in our new state-of-the-art office. We've got your covered for all your dental needs.
Meet the Dental House Team
Focused on Your Care and Safety-
Dr. Rachel Park
DDS
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Julie
Dental Hygienist
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Nicole
Dental Hygienist
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Chanel
Dental Assistant
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Olivia
Dental Assistant
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Kelli
Office Manager
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Jocelyn
Front Office
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Amerette
Front Office