If your are reading this you either have javascript disabled or are missing the flash plugin.
Click here to download the plugin.

• Home
• Meet the Dr. & Team
  • Meet Dr. Shimizu
  • Meet the Team
• Smile Gallery
• Services
  • Smile Design
  • Porcelain Veneers & Instant Orthodontics
  • Full Mouth Rehabilitation
  • Implants
  • Crowns
  • Bridges
  • Inlays & Onlays
  • Metal Free Fillings
  • Teeth Whitening
  • Hygiene
• Patient Information
  • Patient Forms
  • Insurance & Financial Arrangements
• In the Spotlight
• Contact Us
  • Contact Information
  • Contact Form
  • Map

Patient Forms

We have provided a convenient way for you to complete your new patient forms prior to arriving for your appointment. Simply print the forms, complete them and bring them to your appointment for presentation at our front desk.

Click to open pdf form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See Dr. Shimizu's
award winning case

See Dr. Shimizu on channel ABC TV

Dr. Ned Shimizu

11757 Katy Freeway
Suite 960
Houston, TX 77079

Phone: 281.531.0710
Fax: 281.531.0720

drnedshimizu@aol.com