So we don’t compromise your appointment time please complete these forms prior to your visit. We ask that we have the completed forms 24 hours prior to your appointment.

New Patient Adult Registration
18 yrs and older
New Patient Child Registration
< 18 yrs old
Dental and Health Histories:
Child: 13 yrs and under
Adult: 14 -17 yrs
Reactivated Patients
Last visit 2+ years
Dental and Health histories:
Adult - 18 and over
Child - 17 and under

Consent Forms

All patients must have signed consent forms on file. You may submit them now or review them with our New Patient Coordinator on the day of your appointment.

Consent Forms

Release of Records Forms

To Our Office
From Our Office