Download & Complete Your Forms
To help us provide you with the best possible care and make your visit more efficient, please print and complete the appropriate forms before your appointment. Download the forms, print them out, fill them in by hand, and bring the completed forms to your appointment.
Please DO NOT email forms.
Patient Registration
Basic information about you, your contact details, insurance information, and emergency contacts.
Download FormMedical History
Important medical information, current medications, allergies, and health conditions that may affect your dental care.
Download FormOffice Policy
Our office policies regarding appointments, payments, cancellations, and general practice information.
Download FormHIPAA Privacy Policy
Information about how we protect your health information and your rights regarding your medical records.
Download FormReceipt of Policy Form
Acknowledgment that you have received and understand our office policies and privacy practices.
Download FormNotice of Privacy Practices
Our notice explaining how your personal health information may be used and your rights under federal privacy regulations.
Download FormHow to Complete Your Forms
Download
Click on the form links above to download the forms to your device.
Print & Fill Out
Print the forms and fill them out completely and accurately using a pen.
Bring to Appointment
Bring the completed printed forms with you to your appointment. Do not email forms.
Important Information
- First-time patients: Please complete all forms before your first visit
- Minors (under 18): Forms must be completed and signed by a parent or legal guardian
- Insurance: Please bring your insurance cards to your appointment
- Medications: Include ALL medications, including over-the-counter drugs and supplements
- Updates: Please inform us of any changes to your medical history or medications
Need Help with Your Forms?
Our team is happy to assist you with any questions about completing your patient forms.
Please bring completed forms to your appointment. Do not email forms.