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Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

NEW PATIENT FORMS

New Patient Form – 14 and Up
New Patient Form – 13 and Under
Office Policy - All Patients
Consent to Release Information
HIPAA Notice of Practice - TO READ
HIPAA Notice of Practice Policy- TO SIGN- All Patients
Dental Records Release Form - Please use this if you would like records from your previous dentist released to our office. DO NOT SEND TO US

It is our office policy to have updated medical history forms once a year. If you are a current patient please use one of the links below to download the proper forms and bring them with you to your appointment. Thank you and please call with any questions. 

EXISTING PATIENT FORMS

Medical History Update Form - 14 and up
Medical History Update Form - 13 and under

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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