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Stephen R. Evans,
DDS, PA
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16427 FM 344 West
PO Box 970
Bullard, Texas 75757
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903-894-8757—Phone
903-894-7155—Fax
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New Patient Health History Forms and
Instructions |
- Please print out the information, complete the forms and
either mail or fax the registration forms to 903-825-7155.
- If you do not have current Xrays, we will be able to take
Xrays during your New Patient Exam and Consultation
- Please do not
attempt to complete the forms on this website.
- We will be
able to evaluate your needs better (Potential; Treatment Plan Options,
Appointment Scheduling, and Range of Costs) when we have received your
completed forms.
- As soon as your forms are received and reviewed by Dr. Evans,
you will be called for an initial phone consultation with Dr. Evans
to clarify any questions or concerns.
- We look forward to hearing back from you and will be happy to
answer any questions regarding the registration and appointment
process by calling 903- 894-8757.
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New Patient Forms |
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The purpose of this website is to
provide potential patients with an additional method for accessing Dr.
Evans' Registration, Medical and Dental History Forms and directions to the
office. |
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