Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment:

• HIPPA Signature Form
• New Patient Information Form (Child/Adult)
• Written Financial Policy

For your first office visit, we ask that you would also bring:

• Insurance card
• Valid photo ID

Also, check out our interesting dental facts for more information about the health and history of your teeth.

HIPPA Information and Signature Sheets

Please read over the HIPPA Information Sheet and sign our HIPPA Signature Form, acknowledging our privacy policy. The Signature Form should also be brought to your first appointment.

New Patient Information Form

This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit. Please note that we have two separate forms depending on if the patient is a child (16 and under) or adult.

Written Financial Policy

This form details the financial policies of our office. Please fill this form out and bring it in for your first appointment.