Patient Forms
We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.
Health History
Please download, print and complete this form before your next dental appointment.
Patient Information
Please download, print and complete this form before your first dental appointment.
Notice of Privacy Practices
This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Download Notice of Privacy Practices
HIPAA Form
Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.
Auth for Dental Treatment
Download Auth for Dental Treatment
Consent to Call Cell Phone
Download Consent to Call Cell Phone
Dental Materials Fact Sheet
Download Dental Materials Fact Sheet
Health Plan Restriction Form
Download Health Plan Restriction
Insurance Auth
Payments
The Use of Secure Electronic Communication
Download Electronic Communication
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