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Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to our doctor and our caring staff. We encourage questions and do our best to always deliver quality care. 

For patients who are new to our practice, you may complete new patient forms online using the link below.  You will also be able to utilize this service to update information, view and pay statements.

NEW PATIENT REGISTRATION

If you are the parent of a patient who is under the age of 18 and you plan to have your child visit our office without you, another parent or responsible party, please complete the following form.  

CONSENT TO TREAT MINOR IN THE ABSENSE OF A PARENT

Please complete and send this form to your previous dentist so they may forward your records to us.

If you are unable to complete the forms ahead of time, we strongly encourage you to arrive 20 minutes early so that we may use your entire appointment time for your care.  Patients who do not complete paperwork ahead of time and do not arrive early, may be asked to reschedule part of their appointment in order to keep us on time for other patients.  We appreciate your understanding.

 

Please arrive 5-10 minutes before your appointment to allow patient coordinators to copy insurance card and driver license.  If insurance information is incomplete, you may be required to pay in full at the time of your appointment.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.