We have made our patient forms available to you as Adobe Acrobat files for your convenience.When you click "download now" the form will automatically open in Acrobat. Make sure you use the print button in Acrobat so the forms will print correctly.

If you don't have Abobe Acrobat installed on your computer click on the icon below to download a free version.

 Welcome To Our Practice
 Patient Information Form
 Dental Health History Form
 Patient Interest Form
Headache Questionnaire
Head, Neck, and Facial Questionnaire   (8 pages)
Sleep Questionnaire   (5 pages)
TMJ Questionnaire   (2 pages)
Notice of Privacy Practices   (2 pages)
The Epworth Sleepiness Scale



Allen Sprinkle, D.D.S., P.A.
1106 W. Randol Mill Road  Suite100  Arlington, TX 76012
Phone: 817-461-9998 Fax: 817-459-4844


To Email us click here.

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