Patient Registration

Below you will find various forms that you will need for your first visit.

Feel free to contact us with your general questions — we’re happy to help!

Medical History Form–Complete, sign and bring to your first visit.

COVID-19 Patient Advisory and Acknowledgement Form Complete, sign and bring to your visit. 

Dental History Form – Complete, sign, and bring it  to your visit.

HIPAA Notice of Privacy Practices – For your reference — this does not need to be brought in to the office.

Acknowledgement of the Receipt of HIPAA Privacy Policies and Procedures  Complete, sign and bring to your visit

Request to Transfer X-Rays to our Office Complete, and give to your previous dental office to have them send us a copy of your most recent x-rays before your initial appointment.

Financial Guidelines

Important Insurance information