Dentists for individuals with special needs
Gathering the experience of various people to help others
Area
(so far we have "Houston (inner loop), Houston (west), Houston (southwest), Baytown, Bay City, Pearland, Webster, Galveston...
Your answer
Dentist/office name
Your answer
Dentist's phone
Your answer
Dentist's fax
Your answer
Address
Your answer
Other contact info
Best person to talk to in office, email address, etc.
Your answer
Sedation: Do they use sedation in the office to help an individual get thorough a cleaning (if needed)?
Some individuals can only get dental cleanings while fully asleep.
Do they accept Medicaid?
Do they accept private insurance?
If so, please fill in insurance you know they accept.
Your answer
Do they see adults, children, or both?
Anything else you would like to share....
Your answer
If you would like credit for this referral, please enter your email.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service