New Patient Forms

Thank you for opting to complete your new patient forms before your first visit – it will save time at our office and allow us to focus exclusively on your questions and examination.

Please complete the forms below and bring them with you to your appointment. Current x-rays from your most recent dental visit are helpful. They can be requested from your previous dentist by using the “Records Release” form below.

PDF files: Click to download the file, print, and fill in by hand. You will need Adobe Acrobat Reader installed on your computer. Download Acrobat for free by clicking here.

Patient Registration.pdf
Dental Health History.pdf
Medical Health History.pdf
Records Release.pdf
Notice of Privacy Practices.pdf
Acknowledgement of Notice of Privacy Practices.pdf

Word files: Click to download the file, enter and save your information in Word, then print.

Patient Registration.docx
Dental Health History.docx
Medical Health History.docx
Records Release.docx