FORMS
Please print and bring it to the first appointment
Important
New patient forms can be filled out online. Please click the link below:
Click here -> New patient forms link
Alternatively, please arrive 20 minutes prior to your first appointment to allow time to fill out these forms in office.
Or
Please print and fill out forms 1-7 to bring with you to your appointment.
On the ADA Claim Form, you only need to sign lines 36 and 37.
Patient Registration
Patient Registration
For patients to print and bring in to first appointment.
Health History
Health History
For patients to print and bring in to first appointment.
Dental Health History
Dental Health History
For patients to print and bring in to first appointment.
Consent Form
Consent Form
For patients to print and bring in to first appointment.
ADA Claim Form
ADA Claim Form
For patients to print and bring in to first appointment.
On this form you only need to sign lines 36 and 37
Financial Policy
Financial Policy
For patients to print and bring in to first appointment
Acknowledgement of Privacy Policy and Dental Materials Fact Sheet
Acknowledgement of Privacy Policy and Dental Materials Fact Sheet
For patients to print and bring in to first appointment.