Patient Registration

Register for your appointment

Help us get to know you!

Please take a moment and fill out our patient information form. If you have any questions along the way, feel free to contact our practice at Cortez Family Dental Phone Number 210-615-8225.

• Request An Appointment

HIPAA Privacy Policy Information

Please read our HIPAA Privacy Policy before your first appointment. Please print and sign the Acknowledgement of Receipt and the Patient Medical History Form, and bring them with you to your first visit to our office.

• Notice of HIPAA Privacy Policies and Procedures
• Office Policy and Acknowledgement of Receipt of HIPAA Privacy Policies and Procedures
• Patient Medical History Form