Jumping Girl
jumping boy

Rita M. Cammarata, DDS

Jennifer Cunningham, DDS

Jennifer P. Kong, DDS

Adam C. Shisler, DDS, MSD

Brenden E. Taylor, DDS, MSD

Houston

713-666-7884

 

Katy/Fulshear

832-913-6353

 

League City

832-974-0074

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photo of a boy grinning bigOur Office Forms

 

For your convenience prior to visiting our office print out the forms and complete the information and bring it with you to your first visit.

 

Each child needs a health history form and a risk

assessment form

 

Children 3 and Under:

Click here for Health History and Risk Assessment Form

 

Children 4 and Up:

Click here for Health History and Risk Assessment Form

 

Each family only needs one HIPPA form and one financial form

Click here for HIPPA Form and Financial Policies Form

 

Click here for Notice of Privacy Policies (Read Only)

 

Thanks for your visit!  Please complete our survey!

Click here for Our New Patient Survey

 

To print the form you will need Adobe Acrobat Reader.

If you do not have Adobe Acrobat, please click here to download it for free to your computer.

 

 

 

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texas dental associaiton logo and link Rita M. Cammarata DDS,  Jennifer P. Kong DDS, Adam C. Shisler DDS MSD and Brenden E. Taylor DDS MSD are Board Certified Pediatric Dentists. ABPD american dental association logo and link american assocation of pediatric dentistry logo and link