Patient Forms

Please print and complete the following forms (PDFs) prior to your first visit with us. We can also mail you a copy of these documents if you prefer. If you choose not to complete these forms in advance, be sure to arrive a few minutes early to complete them at our office.

• Health History
• Personal Information and Consent Form
• Acknowledgement of Receipt of Notice of Privacy Practices
• Release of Patient Record Information (only if you want your records transferred to us)

Also, we encourage you to read these documents (PDFs).

• HIPAA Notice
• Dental Materials Fact Sheet