You're about to discover how you can have the perfect smile and infection free dental health that you've always desired. We pride ourselves on the comfort and level of after care that goes into each one of our cases.

FIRST TIME APPOINTMENT? NEW PATIENTS START HERE...

You’re about to discover how you can have the perfect smile and infection free dental health that you’ve always desired. You will be learning about dental professionals that see their careers as a calling to make a profound difference in your life based on honest communication, world class clinical excellence and home town personalized customer service.

You will find no managed care philosophy’s in our practice. We believe that fee for service / relationship driven health care is the gold standard of quality for our patients! We know our patients by their names and their unique life experiences, not their insurance number and co-pay. In short, we are so very proud to offer a level of care that is extremely unique in our marketplace and beyond. We are humbled to have patients in our practice from across the great state of Texas, from all corners of the continental United States and several foreign countries.

NEW PATIENT WORKSHEET

Please download and return the “New Patient” forms needed for your first visit. If you’re having an issue and need assistance, please call the office.

Title Email Address
First Name Best Way to Contact Me is.... Home PhoneCell PhoneEmailMail
Last Name Best Time to Contact:
Middle Initial How did you hear about Dr. Gist?
ADDRESS INFORMATION If Other or Write Below, explain here
Street Address
City
State
Zip Code
CONTACT INFORMATION
Home Phone
Cell Phone

0% INTEREST*

Finance that beautiful smile with First Financial Bank,
our preferred lender. Learn more.

OTHER OPTIONS

Care Credit is accepted by over 150,000 providers and is the nation’s leading patient financing program. Sign Up Now for Care Credit.

COPYRIGHT © 2015 – 2017 SOUTHLAKE SMILES / GREG GIST DDS
817.488.7512 | INFO@GREGGISTDDS.COM
2379 NORTH CARROLL ROAD, SOUTHLAKE TX 76092