Dr. Willingham and Reiter, D.D.S.

New Patient Forms

Medical History Update

Update Address, Phone Numbers, or Insurance

If you are a new patient please print out the forms under New Patient Forms tab and fill them out and bring them with you to your appointment.

If you are an existing patient and need to update Medical History or Address, Phone numbers, or Insurance, please click on the appropriate link and complete. Then you may either bring it by our office or mail it.