The following forms are provided for your convenience. Please fill out these forms and bring them with you to your first initial appointment at Bullhook.
Patient Acknowledgement
Patient Complaint Form
Adult Patient Information
Adolescent Patient Information
Consent to Treat a Minor without a Parent or Legal Guardian Present
Patient Rights and Responsibilities
Notice of Privacy Practices
Sliding Fee Scale Worksheet
Sliding Fee Scale Proof of Income Checklist
Verification of Income Worksheet
Dental Health History
Hill County Wellness Resources
Release of Information
Email and Text Consent Form
Middle School / High School Sports Physical Form
College Sports Physical Form
DOT Forms
Medical Examination Report Form with Instructions
Medical Examiner's Certificate