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Breathe Well Sleep Solutions - Dallas Texas

Patient Forms

Welcome to our Patient Forms page, where you can conveniently access and complete the necessary paperwork prior to your visit.

PROMOTING COMPASSIONATE CARE AND WHOLE BODY HEALTH

Patient Forms

Streamline your visit with us by downloading and completing our essential forms. Taking a few minutes to fill out these forms in advance allows us to better understand your unique needs, ensuring a smoother and more personalized experience during your appointment. Just click on the respective forms below to get started.

Schedule Appointment

Patient Registration Forms

Please fill out this form before you come to visit us.

Sleep Breathing Questionnaire

Please fill out this form before you come to visit us.

COVID-19 Notice

Our COVID-19 notice is in place to keep everyone informed and safe.

Medical History

Our Comprehensive Questionnaire helps us understand your child’s health for better care.

Informed Consent Oral Appliance Therapy Form

Please fill out this form before you come to visit us.

Photo Release Form

The “Photo Release Form” gives consent to the use of their dental images

Epworth Sleepiness Scale Questionnaire

Our Sleep Disorder Questionnaire assists in assessing your sleep health for more effective treatment.

Getting started is as easy as…

Schedule A Call

Call us to schedule a time that works for you.

Is my child a candidate?

Meet Your Doctor

Next step: Meet with Dr. Garza or Dr. Choo for an assessment.

Customized treatment plan

Our doctors and staff will create a customized treatment plan for you.

Contact Us

Phone:

(214) 349-9400

Address:

9757 White Rock Trail
Dallas, TX 75238

Email:

hello@breathewellsleepsolutions.com

Office Hours

Monday – 8:00 – 4:00
Tuesday – 8:00 – 4:00
Wednesday – 8:00 – 4:00
Thursday – 8:00 – 4:00
Friday – 8:00 – 1:00