Thank you for choosing our practice for your dental care.

Please click on the link to read our office policy for privacy practices. (HIPAA)

Please print and complete the following forms and bring them to your first dental appointment. If you would prefer to complete the forms at your appointment, please arrive 15 minutes prior to your scheduled appointment time.

Downloadable Office Forms

These forms enable us to better understand your medical history and serve you.

  1. Patient Information
  2. Authorization to Release X-Rays from Previous Dentist
  3. Acknowledgement of Receipt of Privacy Practices
  4. Notice of “Deemed Consent” to HIV Testing in Exposure Incidents
  5. Insurance and Financial Option Information and Consent

If your previous dentist has taken x-rays within the last 5 years, please have the x-rays forwarded to our office prior to your dental appointment by using form #2.

Please bring a copy of your insurance card and a photo ID to your first appointment.