Please see below to access our Secure Online New Patient Health History. This form must be completed and submitted one week prior to your initial visit. All other PDF forms are available below for you to review; simply click on the PDF icon to preview. We will ask you to sign these (the HIPAA notice, Financial Consent and Informed Consent) when you come in for your initial visit.

Forms may also be printed and faxed, mailed or hand delivered to our office. Please allow adequate time for processing and receipt of your forms. We require all forms are received in our office one week prior to your scheduled appointment.

New Patient Online Health History.

Please click here
 

Notice of HIPPA Privacy Practice


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SMILE Plan


 
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Dental Materials Testing Form



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New Patient Informed Consent


 

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Financial Policy & Payment Info.



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The Dental Record Release Form requires a physical signature. Please be sure to print and sign this form before sending to your previous dental office via secure email or fax.

Please allow adequate time for processing and receipt of your dental records (It can take up to 3 weeks). We require all previous dental records are received in our office one week prior to your scheduled appointment.

 

Dental Record Release Form

 

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