The Dentist Richard Luczak, DDS, MPH

Patient Forms


Because we want to provide you with the best dental experience that is available, we want to make all efforts to help you save time and make you have the dental experience that you want. Below, you’ll notice our downloadable patient forms. Feel free to click on each form, download it, and fill the form out on your own time.

This way, you can come to our office prepared with all your patient forms ready to be submitted. This will be able to help you save some extra time on your first appointment.

Grapevine Office Patients

PATIENT LOGIN

NEW PATIENT QUESTIONAIRES