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New Patient Forms Dental Emergencies Welcome

Dr. Terrence O'Keefe Welcomes Patients

At the Houston, TX dental practice of Dr. Terrence O’Keefe, we welcome new patients. If you’ve recently moved to the area, or need a dental practice to call home, our team is ready to help your achieve your smile goals today. We strive to ensure patients feel welcome and comfortable while receiving the highest quality dental care.

Convenient New Patient Forms

Before your first visit, take a few moments to complete our new patient forms. This documentation lets our team get to know you and your individual smile needs by providing information about your past medical and dental health histories, previous dental treatments, current medications, insurance, and more.

You have several convenient options, you can choose to download the forms and print them and fill them out and bring them with you to your first visit or you can use our secure HIPPA compliant online forms and complete them online. If you would like to fill out the forms online you can either call our office give us your email and we’ll send you a secure link to those forms, or you can create your own account and fill the forms out online by clicking the online forms button below.

New Patient Online Forms Download Forms

We Take Your Insurance, Houston!

We are always happy to process and file insurance claims for any provider. Each patient’s insurance is a unique agreement, so it’s difficult to say exactly what coverage you may have. Typically, we are able to give a fairly accurate estimate of out of pocket expenses you may accrue, but always be prepared to pay your co-payment or deductible at the time of treatment.

We are in network with the following providers:

 

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Payment Methods

Our office accepts payment in the forms of cash, local check, and major credit cards. For qualified applicants, we can work with CareCredit, a third-party healthcare financier, to offer low or no interest payment plans. If you have any questions about insurance coverage, or how to finance dental care, our team is here to help you. Please do not hesitate to call with any questions or concerns.

Patient Resources