New Patient Information
We are pleased and excited that you have chosen us for your dental care provider. To expedite your first visit with us, we are providing you an opportunity to download and fill out our medical and dental forms prior to arriving at our office. Many times, we find that our patients do not always have the information needed to complete the forms when they come to the office. By downloading these ahead of time, and completing them at your leisure, you can be assured of the best possible services.
Below there are five forms that you will need to download and complete:
Patient Registration
Medical History Form
Dental History
Privacy Consent Form
Office and Financial Polices Form
The Notice of Privacy Practice is an information only
download, and does not require any completion. However, you will
need to refer to it when completing the Privacy Consent Form.
In addition, you may wish to review our office policies and financial responsibility
statement and the Notice of Privacy Practice to read and understand.
To download these forms, simply right click on the link, and choose the
'save target as' option. You will need Adobe Reader(r) to view and/or print
these documents. You may download the reader here.
| Patient Registration | Dental History | ||||||
| Medical History | Notice of Privacy Practice | Office and Financial Policies |