In an effort to make your first appointment go as smoothly as possible, we ask that you please print the following forms, complete them in their entirety and bring them with you to your appointment. Also, be sure to bring your insurance card(s) and photo I.D. with you!
If you will be transferring your records from your previous dentist, please print the request form and fill it out. You may take it to your previous dentist and have your records sent to us at [email protected], or you may email it to us prior to your visit and we will request them for you. We are looking forward to meeting you!
- Authorization for Release of Information
- Patient Medical History
- Patient Registration/Information
- Request Transfer of Dental Records from Previous Dentist
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: