New Patients

New Patient Special

For a limited time this season, Fluellen Family Dentistry is offering Exam & X-Rays for only $99!* That’s over $200 in savings! Schedule your new patient exam and x-rays today by calling 972-231-8241.

*Excludes patients with insurance


Download Your New Patient Forms Below

We have made our new patient forms available to you as Adobe Acrobat files. For your safety and convenience, we recommend printing and completing these forms in the comfort of your home.

Please remember to bring your completed forms with you for your first appointment.

If you have any problem getting these files to print properly, call our office and we will gladly mail or fax them to you.

If you are looking for a dentist in Richardson or any of the surrounding areas, we want to earn your trust and respect. Let us show you how we do it!

New Patient Form

Financial Agreement

Medical History Form

Dental History Form

HIPAA Notice of Privacy Practices

COVID Patient Disclosures 

COVID Risk Form