The following forms can be downloaded to your computer and printed
at home. By filling out these forms ahead of time you will save
significant time at the time of your visit to Hulen Family Dentistry office in Fort Worth with our comstic dentist, Dr Jessica Brigati. If you have any questions
when filling out these forms, please do the best you can, our staff
will assist you with your questions on the day of your visit.
Please print out and complete the following forms:
Questions? please e-mail: lashann@hulenfamilydentistry.com
Need Adobe Acrobat Reader? 
If you do not have a copy of Acrobat Reader you can get one for
free by clicking on the icon 'Get Acrobat® Reader'. This
will take you to Adobe's website and enable you to download the
Acrobat program to your computer.
CareCredit is a flexible patient/client payment program, specifically designed for healthcare expenses, that makes it easier  for you to get the treatment or procedures you want and need. CareCredit is ideal for co-payments, deductibles, treatment and procedures not covered by insurance, and can be used at over 35,000 practices nationwide.
With CareCredit, you pay no up-front costs, no pre-payment penalties and no fees. Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply.
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