Patient Forms

Please take a minute to fill out our patient registration form before your first appointment:

• Online Forms

If you prefer printable forms, please print and fill out the forms below before your first appointment:

• Health History Form (PDF)
• Dental Medical Fact Sheet (PDF)
• Financial Agreement (PDF)
• Notice of Privacy Practices (PDF)
• Brushing Chart (PDF)
• Doctor Referral Form (PDF)
• Refer a Friend

If you’re unable to open PDF files, you can get Adobe Reader® for free.