NEW PATIENT FORMS
To save you time duringyour first visit, we encourage you to complete necessary paperwork inadvance of your appointment. We’ve made it easy by providing electronic andprint-and-mail versions of these forms, so you can complete them at yourconvenience:
Print and Complete These Documents or Complete Online.
PATIENT INFORMATION
MEDICAL AND DENTAL HISTORY
ACKNOWLEDGEMENT OF PRIVACY PRACTICES NOTIFICATION AND DENTAL MATERIALS FACT SHEET
NOTICE OF PRIVACY PRACTICES
DENTAL MATERIALS FACT SHEET
CHILD PATIENT INFORMATION
CHILD MEDICAL HISTORY
So that you have a clearunderstanding of our insurance and financial expectations, pleasefamiliarize yourself with the following:
INSURANCE
FINANCIAL EXPECTATIONS