A Healthy Smile Is A Beautiful Smile

Patient Resources

Thank you for trusting us with your dental care. We promise to do our best to provide you with the finest care available. If you have any questions, please do not hesitate to ask.

Please take a minute to print and fill out the patient information forms before your first appointment:

Registration Form

Health History Form

Notice of Privacy Practices Form

Acknowledgement of Receipt of Notice of Privacy Practices Form


If you're unable to open PDF files, you can get Adobe Reader® for free.


 

Connect with Us


P:580-625-3111
F:580-625-3112

 

Our Location

47 West 2nd Street
Beaver, OK 73932

 




47 West 2nd Street, Beaver OK 73932 | P:580-625-3111 F:580-625-3112

Copyright 2015© Dr. Timothy Becker DDS