Patient Forms

If you are interested in making an appointment, please click here. In an effort to reduce the amount of paperwork required during your office visit, we have made our patient forms available in a secure online format for your convenience. Simply select the links below to complete the form you need to complete.

Secure Online Patient Forms

Patient Information Form: This secure form is for new patients. Please complete this before your first visit if possible.

Annual Medical Update Form: This secure form is for returning patients. Some of your information must be updated every year.

Printable Forms

Please call if you can not access the forms and we will send or e-mail the forms for you to complete prior to your first visit. Once you complete the forms, you may bring them to your appointment or fax them to our office prior to your scheduled appointment. Our fax number is 972-612-7842.

Medical History Form

New Patient Form

The Fitzgerald Dental Center proudly serves Allen, Frisco, Richardson, McKinney, and Grapevine and the entire Dallas Fort Worth Metroplex from our convenient Plano location.