Patient Forms

We want to make your visits as convenient as possible. Below you will find the patient forms needed for your file in our office. You can complete these forms online and send to us over our secure connection, saving time during your initial visit to our practice.

We look forward to seeing you!
11560 FM 1960 West,
Suite #200,
Houston, TX 77065
281-809-4902

Our Office Hours

Monday 10am-7pm
Wednesday 10am-7pm
Friday 9am-6pm
Emergencies Seen Promptly

Welcome

Amenities Offered

  • Friendly, Caring Staff
    (Each Has a Gentle Touch)
  • Living Room Style Waiting Area
  • TVs in Treatment Rooms
    (PLUS Pillows, Blankets, & Warm Scented Towels)
  • Internet Station &
    Complimentary Refreshments
    in Reception Area
  • Insurance Friendly &
    Flexible Financing

5 Star Review

5 Star Reviews
Vivid Dental
Rating : 5 Reviews


I've had Dr. Harpalani pull out my wisdom teeth about a year ago and have been going to him for my checks/cleanings ever since. His waiting room is always impeccable and friendly staff make you feel at ease when coming to the clinic. Like the fact that he's a younger guy and really easy to talk to(when his hands are of course not in my mouth :))