New Patient Information

At Grapevine Family Dentistry, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care. 

Online Patient Information Form


Online Insurance Information Form


Health History Form


Online Medications Form


Online Dental History Form


Online Privacy Practices Forms


Online Receipt of PP PHI Form


Online Office Policy Form Form





Insurance Accepted - Ask us for which providers we accept.



Aetna PPO, Humana PPO, Geha PPO, Guardian PPO, Ameritas PPO, Teamcare PPO, Mutual of Omaha PPO.

We finance through Care Credit, ask us how







What Every Patient Can Expect

At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.