Steele Dental Specialties, P.A.
Oral Surgery
Coppell, TX
972-315-3355
  • Home
  • Patient Information
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Privacy Policy
    • Online Videos
    • Patient Registration
  • Procedures
    • Dental Implants
    • Bone Grafting
      • Overview
      • Jawbone Health
      • Jawbone Loss and Deterioration
      • About Bone Grafting
      • Ridge Augmentation
      • Sinus Lift
      • Nerve Repositioning
      • Socket Preservation
    • Wisdom Teeth
    • Facial Trauma
    • Pre-prosthetic Surgery
    • Oral Pathology
    • Impacted Canines
  • Meet Us
    • Meet the Doctor
    • Meet the Staff
  • Surgical Instructions
    • Before Anesthesia
    • Dental Implant Surgery
    • Wisdom Tooth Removal
    • Exposure of an Impacted Tooth
    • Extractions
    • Multiple Extractions
  • Referring Doctors
    • Referral Form
    • Links of Interest
  • Contact Us
    • Contact Information / Office Map

Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Privacy Policy
  • Online Videos
  • Patient Registration

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Technical Note:

PC Users
Our online form use the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe’s web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.

Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe’s web site.

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Serving The Following Texas Cities:
Carrollton TX • Lewisville TX • Irving TX • Flower Mound TX • Frisco TX • Grapevine TX


Address: 225 East State Highway 121, Suite 150 • Coppell, TX 75019 • Phone: 972-315-3355


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