If you are a new patient to our office, the attached files 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 contact our office if you have any questions at all.
New Patient Packet - contains medical history, HIPAA Policy and HIPAA Acknowledgement Form
Email Consent Form
- if you would like to communicate with the office via email, including
receiving treatment plan information and copies of bills and ledgers,
please complete this form
Record Release Form - use this form to request a transfer of records to another dental provider
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.