Patient Forms - Old

Make Your First Visit Easy!

Save 20 minutes at your fist visit by completing your forms  prior to your 1st appointment!

We have made our new patient forms available on this website for your convenience!  You can fill out our new patient forms at home before visiting our office.

If you have any problems with the forms, simply call our office and we will gladly send or fax them to you.   We look forward to meeting you and helping you with your dental needs!

NEW PATIENT QUESTIONAIRES

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Ready to come in for an appointment?
Contact us today!

Jay Herrington, D.D.S.
Junior Hernandez, D.D.S.
Katelin Brooke Y'Barbo, D.D.S., M.S.

Palestine Dentists Dr. Jay Herrington and Dr. Junior Hernandez, DDS are dedicated to family dentistry such as Exams, Teeth Whitening, Veneers and more. We are looking forward to your visit to our Palestine, Texas dental office.


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