New Patient Forms

We are happy to offer our forms and applications for download. Please feel free to print these and fill them out at your convenience before your visit. Please do not email these forms over the Internet.


New Patient Registration Form

Please download, print and complete this form before your first dental appointment.
Click here to download (347 KB)


New Patient Health History Form

This form needs to be filled out before your first dental appointment.
Click here to download (1.2 MB)


Affordable Care Act - Section 1557 - Non-Discrimination

Notice informing individuals about nondiscrimination and accessibility requirements and nondiscrimination statement: discrimination is against the law
Click here to download (393 KB)


 
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