If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Form #1 New Patient Medical and Patient History (2 pages)
Form #2 Office Financial Policy
Form #3 HIPPA
Form #4 Medical and Insurance Update (patient of record)
Form #5 Consent To Accompany A Minor
Form #6 Panorex Consent Form (for patients of record)
Form #7 Asthma Update
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.