The preferred, and most efficient forms submission is with our on-line version listed first. With this method, forms are filled, signed, and submitted, all without requiring the forms to be printed, filled out, and carried to your clinic of choice.
AccelHealth has done extensive testing of the on-line forms, using multiple operating systems (PC, MAC, iPhone (iOS), and Android), with the browsers that come with the above listed systems. If for any reason you have problems filling out and submitting the forms, please follow this link and provide feedback detailing the issue, and we will do our best to address the problem.
In the event your system has problems with the on-line version, we provide links to download the forms. The downloaded forms will then need to be printed, filled out, and presented to the front desk when you arrive for your appointment. The forms would then be scanned into our system.
Required forms:(*) New Patient Registration, Family Size and Household Income, and HIPAA/PHI Authorization Form. Other listed forms are only required if additional assistance is requested. This applies to both the online and downloadable versions.
New Patient Forms (On-Line)
New Patient Forms (Download)
AccelHealth Dental provides a “Dental Appointment Availability Form“, which allows our dental clinic to collect information on your availability to be called in an event of cancellations, thereby, allowing your regularly scheduled appointment to be moved to the newly created slot.
Dental Patient Forms (On-line)
Dental Patient Forms (Download)
|COVID-19 Emergency Dental Consent Form, TX||Formulario de consentimiento de emergencia dental COVID-19, TX|
|Health-History||Historia de salud|