New Patient Forms

New patients can save time during their first visit by downloading and printing the forms below, and completing them prior to their first appointment. If you have any questions or concerns please contact our office staff for assistance. 

• Patient Information Form
  
• Health History Form
  
• Authorization for Use and Disclosure of Protected Health Information
  
• Acknowledgment of Receipt of Notice of Privacy Practices ​
• Cancellation Policy
  
• Hippa Joint Notice of Privacy Practices 
  
• Informed Consent Form for General Dental Procedure
  

These forms require the free Adobe PDF Reader to view and print.

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