FORMS

Forms

Patient Forms

Please download, print, sign, and bring all required forms with you to your next visit.

New Patient Registration

Welcome new patients! Please download, print, and fill out our New Patient Information form. This will save time in the office when you come for your first visit!

New Patient Registration PDF

Medical History

Please complete our Medical History Form about your present dental health and medical history. This information is important for us to evaluate and effectively treat your dental concerns. 

Medical History PDF

HIPPA Form

Our HIPPA form outlines how health information about you may be used and disclosed and how you can access this information.

HIPPA Form PDF

Release Authorization

To request a copy of your dental records, you must print and fill out the Release Authorization form.

Release Authorization PDF
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