Patient Form Download
We want to deliver the same quality care in these unique circumstances while helping prevent the spread of COVID-19. Help us to streamline your appointment by completing your patient forms online in advance. We have provided a convenient way for you to complete your new patient forms prior to arriving for your appointment.
Simply click on the PDF icon below, then complete the form by filling it out, then print and bring them to your appointment. If you have any questions please don't hesitate to call us 281.531.0710.
Giving people the smile they want is our passion!
Dr. Shimizu is an accredited member of the American Academy of Cosmetic Dentistry. There are only 404 dental professionals worldwide (Only six in Houston area) as of 2020 who have achieved this prestigious honor.