New Patients

Patient Forms

Please print out and complete the new patient forms, full medical history, list of medications and HIPAA form, and if applicable send the release form to your current dentist so that we may obtain your x-rays and dental records. Thank you!

• New Patient Form
• Patient Update Form
• HIPAA Consent Form
• Insurance Form
• Notice of Privacy Practices

To view the forms – click on the buttons above to open them in a new browser window.

To save the forms to your desktop – on a PC: right click on the icon or the link above and select “Save Link/Target As”, on a MAC: hold down the control key and click on the icon or the link above and then select “Save Target/Link As”.