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Forms

We understand that your time is valuable. That's why all of our paperwork is available online for you to complete before your appointment. This allows you to spend more time with your dentist and less time with a clipboard in hand.

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New Patient Packet

If you're a new patient, please download and complete our entire set of patient forms. Filling out this paperwork before your appointment allows us to prepare, and will help limit your time in the waiting room.

Medical History

Your full medical history helps us provide you with the best possible dental care. If you're a regular patient and experience changes in your health, please bring an updated form to your next visit so we can maintain accurate records.

Patient Information

It is important that we keep your up-to-date insurance information and address on file. If you're a regular patient and experience any change in insurance coverage or a change in your residential address, please make us aware of these updates.

Acknowledgement of Receipt

We require a signature on file indicating that you have read and acknowledge our Notice of Privacy Practices. Our Notice of Privacy Practices provides a description of treatment, payment, health care operations, and the uses and disclosures we may make of your protected health information.

Financial Policy

Our financial policy outlines the types of payment we accept, as well as an explanation of your financial responsibilities as our patient. We require a signature on file indicating that you will comply with these terms.