Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

For all patients, before coming to your appointment, please complete the COVID-19 Informed Consent Form:

• COVID-19 Informed Consent Form

Pediatric Forms

• Dental Patient Form (Child) PDF
• Infant Frenectomy Forms
• Dental Insurance Information

Orthodontic Forms

• Orthodontic Online Health History Form
• Dental Insurance Information

HIPAA Forms

• Notice of Privacy Practices PDF
• Acknowledgement of Receipt of Notice of Privacy Practices PDF

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