Patient Forms

We want you to have a positive experience each time you visit our office. Below, you will find required forms for both new and returning patients. Please click each form to view and print a copy. Please bring the completed forms in with you on your next visit. 

If you have any questions, please feel free to contact our dental team for assistance. We are always happy to help!

(All forms are required for new patients. *Required for minors and/or physically or mentally incompetent patients only.)

**COVID-19 Pandemic Emergency Dental Treatment Consent Form**

Health History Form

*Authorization to Treat a Minor or Physically or Mentally Incompetent Patient

Responsible Party

Financial Policy

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Smile Analysis