Mark K. Holcomb, D.D.S.-Patient Forms

Welcome

Dr. Holcomb

AAOMS Pledge

General Information

Financial Information

How to Contact our Office

Directions to our Office

Information about our Specialty

Specialty Procedures

Patient Forms

HIPPA Privacy Notice

Pre-Operative Instructions

Post-Operative Instructions

Site Disclaimer

Links

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www.drmarkholcomb.com

Mark K. Holcomb, D.D.S.
Clear Lake Oral and Maxillofacial Surgery

17448 Highway 3, Suite 170 • Webster, Texas 77598-4139 • Phone: 281-338-7700 • Fax: 281-338-7703


PATIENT FORMS

     Thank you for choosing us for your oral surgery needs. For your convenience, our patient forms are available for your completion prior to your scheduled appointment. Our office is committed to providing you with the highest quality care. We will make every effort to ensure that your visit with us is a comfortable experience. We look forward to meeting you and value your trust and confidence in our office. If you have any questions please contact our office.

Please click here to print the patient information and medical questionnaire forms

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     It would assist us if you have a referral slip and a panoramic x-ray from your dentist at the time of your consultation. You do not have to be referred to our office by your dentist. Many of our patients are self-referred. However, with some insurance carriers it is required that you have a referral from an in-network dentist for coverage of treatment. If a panoramic x-ray is not available, we will take one when you are seen.

     If you have a complex medical history, it would be helpful if you have a list of medications in which you are currently taking. If you have a medical condition such as: artificial heart valve(s), artificial joint(s), heart murmur, rheumatic fever or mitral valve prolapse, please share that information with us so that the required pre-medication can be prescribed.

     If your child is a minor, it is essential for at least one parent or legal guardian to be present at all appointments.


Welcome - Dr. Holcomb - General Information - Financial Information - How to Contact our Office - Directions to our Office - Information about our Specialty - Specialty Procedures - Patient Forms - HIPPA Privacy Notice - Pre-Operative Instructions - Post-Operative Instructions - Site Disclaimer - Links