Patient Forms

You may access the following forms to assist us with your care. Please either select "New Patient Forms" if you are a new patient or "Patient Portal" if you are a current patient.

New Patient Forms
Patient Account Access


*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Brush Country Dental Center

  • Brush Country Dental Center - 800 North Bryant Street, Pleasanton, TX 78064 Phone: 830-569-2500

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