Below are the forms that all new patients are required to fill out prior to a first appointment. Please either print each form and fill in by hand prior to your first visit, or complete the PDF form, print out, and sign where signatures* are required. Bring these completed forms to the office for your first visit.
Dental Registration and History
Consent for Use and Disclosure of Health Information
* Do not attempt to type a signature for any of these forms. Please hand-sign each form as required following the completion of the remaining information.
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.