New Evaluation Form

DENTON

Let's Get Started

Download new patient paperwork.

Please download and complete this packet and bring the forms with you to your initial evaluation. Thank You!

Official Documents

If you didn’t already, please upload a copy of your insurance card and driver’s license or official photo ID. (If you did already provide us these documents, you can disregard this entire section.)

THANK YOU! 

Name*
Email*

Send request to this Velocity location:

Attach Insurance Card:
Attach Driver's License / ID:



Almost Done!

After you complete the new patient packet above, please send us a copy of your insurance card & driver’s license! Thanks a million!

Patient Privacy Rights

Click to view / download your patient privacy rights.

Please contact us with any questions or concerns.  We are so grateful for the opportunity to provide you care.