Patient Forms

We look forward to seeing you here at Biria Dentistry.

For your convenience please complete your New Patient Form online prior to arriving for your appointment with Dr. Biria. This will help us prepare for your visit and save time at your appointment.

If you are not sure which forms you need, please call us at 913-499-1111 for assistance.

Patient Health Information

You’re coming to a office because you want to see a dentist, not be handed a clipboard. You can submit the form online or you can download it and bring it to your first visit.

Online Version
Downloadable PDF Version

Please contact us with any questions or concerns you may have.

HIPAA Privacy Notice

You’re coming to a office because you want to see a dentist, not be handed a clipboard. You can submit the form online or you can download it and bring it to your first visit.

Online Version
Downloadable PDF Version

Please contact us with any questions or concerns you may have.