Patient Forms

Prepare for Your Visit

Please click on the links below to complete our forms. You may complete them online and then print them. If printed, please bring the completed forms and your dental insurance card with you to your appointment. If you are unable to print the forms, please plan to arrive 10-15 minutes early for your appointment so that you can complete them in our office.

Completing your patient forms in advance helps us prepare for your visit and ensures that we have accurate information about your medical history, current medications, and insurance coverage.

Medical History Form

Dental History Form

Notice of Privacy Practices

Acknowledgment of Receipt of Privacy Practices

Oral Cancer Screening Form

E-Prescribing Consent Form

Policies & Credit Card Appointment Reservation

Patient and Dental Insurance Information

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