Ingram Hills Dental
Ingram Hills Dental

Patient Forms

New patient? Please download and fill out the following three (3) forms and bring them to ryour first appointment.

Patient Medical History & Office Policy Form

To expedite your visit, print these forms, fill them out and bring them with you for your first visit. Please bring a list of your medications or bring the medications with you to your first appointment. 

New Patient form.pdf
Adobe Acrobat document [1.4 MB]
Ingram Hills Financial policy.docx
Microsoft Word document [34.7 KB]

Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

Privacy Notice
HIPPA required notice - please review, sign and bring to first appointment
Privacy web document.docx
Microsoft Word document [24.2 KB]

Coronavirus Update

We are currently seeing Emergency patients by appointment only. Please call 210-435-4601 for an emergency consult.

 

Make an Appointment Today!

Call us at: +1 210 435-4601

 

Ingram Hills Dental

Dr. Michele M. Bishop

4496 Callaghan RD

San Antonio, TX 78228

Fax: 210-435-7131

Email: IHDental@yahoo.com

 

Use our contact form to get in touch.

Office Hours

Currently seeing emergency appointments only due to COVID-19 mandates

 

Please call 210-435-4601 for an emergency consult.

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