Patient Registration Forms

Register With Us To Become A Patient

At The Tooth Place Brownsville!

Print Registration Forms

Register Online

Please click on the “Online Patient Registration Forms” link below to begin our registration process. There are three (3) forms that need completion.

1. New Patient Information Form

2. New Patient Medical History

3. Authorization to Bring In

Imprimir Formas de Registro

Registrate en Línea

Favor de oprimir “Formularios de Registro de Pacientes.” Hay tres (3) formas digitales para llenar.

s1. Información De Paciente Nuevo

s2. Nuevo Paciente- Historial Médico

s3. Autorozacion para traer

The Tooth Place

Experience The Tooth Place Difference! Come see why The Tooth Place is your Dentist Office in Brownsville, TX. Visit us today and see how we can make your smile beautiful!

Office Hours

Mon - Thurs: 8:00AM - 7:00PM

Fri & Sat: 8:30AM - 1:00PM

Sun: Closed

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