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.
We would be happy to request records from your previous dental office if you feel it would be helpful to for us know your dental history. To be HIPAA compliant, all offices require a records release form, below. Simply fill it out, and we will request your records before your initial appointment.
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.
Dental Health History.pdf
Medical Health History.pdf
Notice of Privacy Practices.pdf
Acknowledgement of Notice of Privacy Practices.pdf
Appointment & Insurance Guidlines.pdf