Dental emergency? Do not use this form. If you have severe swelling, trouble breathing, uncontrolled bleeding, facial trauma, or fever with facial swelling, call 281-807-6111 directly. If breathing or swallowing is affected, call 911 or go to the nearest emergency room.
Ready to complete your forms?
Open the mConsent registration portal, complete all sections, and submit before your first visit. Call the office if you need help.
The form opens in a new window.
Before you start
What to have ready
Personal information
- Full legal name as it appears on insurance
- Date of birth
- Phone, email, and home address
- Emergency contact
Dental insurance
- Insurance card front and back
- Subscriber name and date of birth
- Member ID and group number
- Leave blank if no insurance
Medical history
- Current medications and dosages
- Drug and other allergies
- Major medical conditions
- Previous dentist information
Your privacy matters. Registration information should be submitted only through the secure registration portal or directly with the office. Do not email sensitive medical details unless directed through a secure workflow.
Frequently asked questions
New patient registration
Do I need to complete forms before my first visit?›
Completing the forms before your visit reduces check-in time and helps the SoftDental team prepare your chart.
Does completing the online forms confirm my appointment?›
No. Online forms are for registration only. Your appointment is confirmed by the SoftDental team.
What if I do not have dental insurance?›
You can still complete the forms. Leave the insurance section blank or enter “none.”
Can I fill out the forms on my phone?›
Yes. The registration portal is designed to work on phones and tablets.