New Patient Forms
We take pride in our comfortable waiting rooms, but we don’t want you to have to wait too long. For your convenience, we have provided the following forms that you can fill out before your visit. You must have a PDF reader. Please make sure you read the Notice of Privacy Practices, then print out the Acknowledgement form. We ask that you please sign that form and bring it with you, along with the other signed forms, at the time of your appointment.
- New Patient Form
- Consent For Use And Disclosure Of Health Information Form
- Financial Agreement And Authorization For Treatment
- Signature On File Form
- Consent to Discuss
- Authorization To Release Dental Records
Click HERE to view and download our HIPAA Notice of Privacy Practices.