New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

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Adult Patient Registration

Please download, print and complete this form before your first dental appointment.
Download New Patient Registration (955 KB)

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Child Patient Registration

Please download, print and complete this form before your child's first dental appointment.
Download Child Patient Registration (406 KB)

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Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Download Notice of Privacy Practices (229 KB)

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HIPAA Form

Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.
Download HIPAA Form (295 KB)

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