Patient Forms

If you are a NEW PATIENT to our office, or an EXISTING PATIENT (who either has not been seen by us or has not signed/filled out one or more required forms in a year or more), there is paperwork you will need to complete before your appointment.  Please know that we understand your time is valuable, so we only use those forms required by law or those which provide us with the information needed to treat you most appropriately and effectively.

In order to give you the option of filling out the necessary paperwork in the comfort and privacy of your own home (instead of our waiting room), you will find all the necessary forms below.  Or, if you prefer, we can mail these forms to you.  Just let us know which method you would prefer.

If you choose to download these forms, please print them, fill them out clearly and carefully and bring them with you to your next appointment.  This will allow us to attend to your medical needs more quickly, once you arrive. 

Please note that several forms are scanned images and may take a minute or so to download, depending on your connection speed.

NEW PATIENTS: (Please download ALL 4 forms, fill out, and sign)

  1. Patient Information Form

  2. Dental History

  3. HIPAA (your federal privacy rights and options)
  4. Financial Policy


If it has been a year or more since you've been to our office, or since you have filled out and signed one or more of the following forms, please download the appropriate form(s) below and bring them to your next visit:
Medical & Dental History  (must be updated every 2 years)
HIPAA (your federal privacy rights and options)
Financial Policy


Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.