Ingram Hills Dental
Ingram Hills Dental

Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

Patient Medical History & Office Policy Form

This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.

Patient Medical History Form
Health history form - please complete both sides and bring to first visit
ADA form health history.pdf
Adobe Acrobat document [496.7 KB]
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]

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

Monday - Thursday: 8am - 5pm

 

Friday: by appointment only 

 

Outside our regular business hours, please note our emergency care information.

Keep Your Teeth Healthy!

What is the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.

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