The New Patient Forms are in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

 

Below are our New Patient Forms. Please print, complete, and bring them with you to your appointment. Our Privacy Policy is also available for you to review below.

Patient Information Form

Appointments and Financial Options

Privacy Practices Acknowledgement Form

VisaLite Authorization Form

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Below are Patient informational notices that you can view or print for your records. They do not have to be printed and brought to your appointment. They are for your information only.

Hygiene (Cleaning) Appointment Information – This explains procedures followed during your hygiene appointment.

Privacy Practices Form – This form explains our Privacy policy for the office, and the use of your information.