Please call our office to schedule your first visit. So we can save you time and get the most out of your first visit, we ask that you fill out your paperwork ahead of time. We will either mail out the paperwork to you, or you may simply download them here.

Patient Registration Form
Please fill in all pertinent information on this form. If the appointment is for you or perhaps your child, follow the appropriate arrow on the upper left hand part of the page. The second page of this form says “Consent for Treatment” and starts on the lower half of the page. Please read then sign and date at the bottom of the page.
| Download Form |

Dental History Form
So we can more fully understand your needs and concerns, please answer all questions as completely as possible. Where yes or no responses are asked for, please circle the appropriate response to each question.
| Download Form |

Medical History Form
So we may provide your dental care in a safe and efficient manner, please answer each question to the best of your knowledge. Where yes or no responses are asked for, please circle the appropriate response to each question. Sign and date the form where indicated.
| Download Form |

Notice of Privacy Practices
Please read this two page document. It describes how health information about you may be used and disclosed and how you can get access to this information. Please sign and date the document entitled “Acknowledgement of Receipt of Notice of Privacy Practices”.
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