New 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

This form needs to be filled out before your first dental appointment.

Health History

Acknowledgement of Risk

This form needs to be filled out before your next appointment.

Acknowledgement of Risk

Patient Screening

This form needs to be filled out before your next appointment.

Patient Screening

Patient Liability Form

This form needs to be filled out before your first dental appointment.

Patient Liability Form

Summary 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.

Summary of Privacy Practices

Appointment Protocol

Please read this document before your first dental appointment.

Appointment Protocol

STOP BANG

STOP BANG Form

Lip Tie Patient Forms

Please download and complete these forms if you are a lip tie patient.

Lip Tie Forms

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader: