Patient Forms

NEW PATIENT:

We value your time. Please, click each of the links below to access the new patient forms. Printing each form and filling it out completely prior to your visit, will allow us to process your initial visit most efficiently, saving you valuable time.

The "Health History", "Hippa" and "Financial Policy" forms are required by all new patients. The "Chid Health History" form is required by the Adult, parent or guardian of any child under the age of eighteen (18).

If you are unable to print these forms and fill them out completely prior to your initial visit, please show up thirty (30) minutes prior to your scheduled appointment time.

We look forward to welcoming you into our office Let us fulfill all your dental needs.

SMILE!

 

Health History Form

Child Health History Form

Hippa Acknowledgement Form

Financial Policy


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