Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Registration (Child) PDF
  • Patient Registration (Adult) PDF
  • Dental History (Child) PDF
  • Dental History (Adult) PDF
  • HIPAA Notice of Privacy PDF
  • What We Offer Form PDF
  • HIPAA Authorization PDF

If you're unable to open PDF files, you can get Adobe Reader® for free.

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