Resources and information for our patients
New Patient Forms
Our New Patient Forms are available online so you can complete them at your leisure – saving you time waiting in our office and giving you time to carefully review our policies and procedures.
- Click on the links below to download our forms.
- Open open the forms and print them on your printer.
- Fill them out.
- Bring them with you to our office when you visit.
Adult Forms (Ages 18+)
- Patient Information (Adult)
- Medical History
- Office Financial Policies and Federal Truth-in-lending Statement
- Consent to Proceed
Child Forms (17 & younger)
- Patient Information (Minor)
- Medical History
- Informational Informed Consent Pediatric (Children’s) Dentistry
- Office Financial Policies and Federal Truth-in-lending Statement
- Consent to Proceed
