West Texas Endodontics

6112 North Hwy 349
Suite A-1

Midland, TX 79705

(432) 934-0491

Patient Forms

Technology at West Texas Endodontics is up to date! Starting with our software program TDO (The Digital Office). This software allows our highly trained staff to schedule patient appointments and send an email to patients, allowing patients to fill out the needed patient registration, medical history, and pain history prior to their appointments. The patients email sent from Eastern New Mexico Endodontics will include an assigned ID and password. After logging onto our website: www.westtexasendo.com and clicking on the patient log in button, patients can begin the registration process, in the comfort of their own desk top or I-phone.

Patient Login

No email address? No worries, you can print out Registration and Medical History forms to print and fill out then just bring to your appointment.

New Patient Forms
HIPAA Form

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

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