Patient Forms


Please ensure that you fill out all applicable forms before your visit:

New Patient Information

Notice of Privacy 

Breast Feeding Questionnaire


Post Dental Treatment Instructions:

Debridement Instructions

Scaling & Root Instructions

Temporary Crown Instructions


Post Frenectomy Instructions:

Baby Post-Op Instructions

Adult Post-Op Instructions

Post-Op Doctor Report


Airway Centered Disorder Information:

Airway Centered Disorder (ACD) 

Melanie L. Throne, DDS, PA
6417 Southwest Boulevard
Fort Worth, TX 76132
Phone: 817-576-1917
Fax: 817-735-4723
Office Hours

Get in touch