Make your appointment even faster by using our printable new patient forms
It's More Convenient
At your appointment, our office will ask you to provide patient registration details such as name and address, responsible party, consent for treatment, etc. You can save time by printing and filling out these forms yourself.
Bring The Forms With You
After you've completed the new patient forms, simply bring them with you to your appointment. Although it's not required, bringing completed forms saves both time and and effort. Should you have any problems downloading the forms, be sure to call our office and we will gladly assist.
New Patient Form
Agreement to Pay for Treatment
Dental History Form
Medical History Form
If you would like us to coordinate with another dental clinic to request x-rays, please complete this form:
X-Ray Release Form
HIPAA Authorization Form
Note: To download Adobe Acrobat Reader for free, click here
It's More Convenient
At your appointment, our office will ask you to provide patient registration details such as name and address, responsible party, consent for treatment, etc. You can save time by printing and filling out these forms yourself.
Bring The Forms With You
After you've completed the new patient forms, simply bring them with you to your appointment. Although it's not required, bringing completed forms saves both time and and effort. Should you have any problems downloading the forms, be sure to call our office and we will gladly assist.
New Patient Form
Agreement to Pay for Treatment
Dental History Form
Medical History Form
If you would like us to coordinate with another dental clinic to request x-rays, please complete this form:
X-Ray Release Form
HIPAA Authorization Form
Note: To download Adobe Acrobat Reader for free, click here