Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that have to be filled out when you arrive at our office.  Printing them, filling them out completely (including all current prescription medications) and bringing them with you will allow us to attend to your dental health needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Information Form

Notice of Privacy Practices

Desktop Application requirements (Windows / Mac*):

1. Adobe Reader or Adobe Acrobat (ver. 8.1, or greater)

*If using Mac, please be sure the form(s) are opened in Adobe Reader, not Preview – Apple’s default PDF Viewer. If the forms are opened and/or completed in Preview (or any other third-party PDF Viewer – Windows or Mac) instead of Adobe Reader or Acrobat, the forms will encounter display errors (i.e. text that appears to disappear, blank fields, etc.)
 
If needed, users may download the latest version of Adobe Reader for free at: http://get.adobe.com/reader/?promoid=BUIGO
 
Mobile Device App requirements:

iOS (iPhone/iPad):

1. Suggested app to use: PDF Expert ($9.99)
2. Will also work with:  Adobe Reader Mobile app (free), however, not as many features are PDF Expert.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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