Patient Forms

For your convenience, please download the PDF fillable forms and save on desktop, fill and print, or email the office to request the forms through secure email. On an average it will take at least 15-20 minutes to fill these forms at the office. Please plan on arriving accordingly to your first appointment. Please update us if there are any changes to your health status, insurance and/or contact information.

New Patient Forms

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Patient Registration Form

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Medical / Dental History

Print in Landscape only

Existing Patient Forms

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Recall History

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Consent for Treatment

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Dental Implant Consent

For Information Purposes

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Office & Financial Policy

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Patient Care Instructions

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HIPAA Notice of Privacy Practice

What to expect at your first visit:

— Verification of personal information, health history and benefit plan / insurance coverage
— Exam, X-rays, pictures, consultation and simple teeth cleaning (if applicable)
— Topical fluoride (Kids), oral hygiene instructions and patient samples
— Discuss treatment plan and insurance breakdown for payments
— Follow-up treatment / recall visit appointment