New Patient Forms
Please assist us by providing the following information at the time of your initial visit:
- Patient Registration/ Medical and Dental history- including a list of any medications your are taking.
- Patient Communication Form
- Records Release Form- any x-rays taken by a previous dentist, if applicable.
- HIPAA Privacy Form
IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian.
Please download fill out and bring to your appointment to expedite your appointment.
Patient Registration/ Medical & Dental History