Patient Forms

If you are a new patient to our office, the link below contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing forms, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. 


Patient Login Link

New Patient Forms Link

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DENTAL ASSOCIATES of Houston
Jeremy Wade Chance, DDS

Dr. Jeremy Chance is dedicated to excellence in dentistry specializing in Periodontal and Cosmetic Dentistry. The office is located in Houston, Texas.


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