As a matter of convenience for our wonderful patients, our dentist, Dr. Kim Le, allows you to fill in your new patient forms right here online. To save a bit of time at your first visit to our practice, please complete the form below to help us learn a bit about you and your needs before your first treatment. If you have any questions for us, please call our dental practice in Mansfield, Texas, at 817-473-6677 today for more information.

Online Patient Form

Printable Patient Form