Patient Forms

Please take a minute to fill out theses patient information form before your first appointment. After you are done, submit online through our secure connection. If you need any help please let us know.

Medical History
Registration Form
Financial Policy
Notice of Privacy Practices
Signature on File*
*Permission to send your health information to your insurance, to our dental labs, and to a specialist. You know when we do any of these. 

 

Our HIPAA Privacy Notice describes how your health information may be used and disclosed. If you're unable to open this  PDF file, you can get Adobe Reader® for free.

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