Our New Patient Forms are now available to be filled out online prior to your office visit. Click the link below to begin
filling out your information now.
NEW PATIENT FORMS
Our New Patient Forms are also available for download so that you can
complete your form at your convenience. This gives you the time you
need to carefully review our policies and procedures outside of the
office and makes your first visit easy. Click on the link below to
download the form, print it out and bring it to your first appointment.
ACKNOWLEDGMENT Of Privacy Practices
Patient Information Forms
In-House INSURANCE Plan
Our printable forms require Adobe Acrobat Reader to view. If you do not
have Adobe Acrobat Reader, you may click the link below for a free
We do accept x-rays from other dentists as long as they are of
diagnostic quality and are current. Bitewing x-rays must have been taken
within the past year, and Panoramic x-ray within the past five years.
We kindly ask that you complete the General Dental Release form in order
for your records to be released to our office from your previous dental
provider. Please sign and send this form directly to your previous
Once again, we want to thank you for selecting our office. We are
very excited to become your dental provider! Please do not hesitate to
contact our office if you have any additional questions or concerns and
we will be happy to assist you!
American Dental Association
Academy of General Dentistry
Dental Health Online