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ImageCare Dental Group

New Patient Forms

Secure Online Forms

Offline Forms

You can also download fillable PDFs, print and bring the completed forms to your first visit. You may also complete these and use the Submit button at the end of each form which will email the completed document to patientcare@imagecaredentalgroup.com. You can also fax the documents to 972-618-9369.

Note: You must download and save the PDF to your computer and open using Adobe in order to use the Submit button at the end of the form.

To save time, please complete all forms prior to your visit.

For Implant, All-on-4®, Cosmetic and Denture consultations only.

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Plano Office

6841 Coit Rd
Plano, TX 75024

Open Today 7:30am - 5:00pm

More Info Directions (972) 618-5000