Patient Forms, Map and Directions to Houston Office
We welcome new patients to our practice!
For those who are joining us as new patient, it might seem out of the ordinary to be scheduled for a 60-minute new patient visit with the dentist and hygienist. This time is reserved especially for you to ensure that you can receive a thorough dental examination and consultation with Dr. Kotlarek . He looks forward to getting to know you and your family, and to talking with you about your oral health and expectations for your smile. Our goal here at Roman Dental is not only to take care of our patients’ dental needs, but also to get to know our patients on a personal level to make each appointment as comfortable as possible.
We strive to run on time so you won’t be kept waiting, and we ask you to arrive for your appointments on time as well. We understand that you are busy, and your time is valuable to us!
We only deviate from our schedule in the event of dental emergencies that must be taken care of immediately. If you are unable to keep your scheduled appointment, please give us at least 24 hours notice.
Should you need to change or reschedule a reserved appointment time, please call at least 48 hours in advance so that another patient can be seen sooner.
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.