Patient Forms

Fill out and sign your patient forms

Use the link below to download and fill out your patient forms so you can complete them before coming into the office. Let us know if you have any questions by calling us at 580-256-8668 or e-mailing us at highplainsdentalww@gmail.com

  • "We love Dr. Moon and his whole staff. Their all very nice and really great with kids."

    Heather Chambers

  • "Dr. Moon was very personable and thorough while setting a temporary crown."

    Kenny W.

  • "Of all the dental visits I've had in my 50-plus years, this was by far the best. The staff was upbeat, friendly, great attitudes, and helpful. I will certainly come back for all my dental needs. Great job guys!"

    Kim Wellman

  • "Highly recommend this precious Dental Family!! Kind and gentle for any age! So thankful for all of them. They were compassionate and thoughtful to my sweet mama 81 years old who had saved for a very long time for new dentures. She loves her new smile and can finally eat whatever she wants to eat! Love and prayers for Dr. Moon and his talented staff who was so patient with my mama. I wouldn't go anywhere else. Thank you, Dr. Moon and every one of your gifted team!!"

    Tracy Judd

  • "So proud of this kid today! A couple of years ago he hit his face causing damage to his teeth and having to get stitches in his lip. It was time for the teeth to come out. He was so brave and did so great for Dr. Moon! He's already back in action. Highly recommend Dr. Moon and his staff!"

    Kayli Nelson