New Patient Forms

We are so happy to have you as a new patient at our practice! Below are links, which you may click to view, print and fill-out the New Patient Forms we require for each patient. By printing and filling-out these forms you expedite the new patient process, getting your smile seen sooner!

New Patient Information & Health History (required)

Financial & Cancellation Policy (required)

HIPAA Privacy Statement - for your records only; however, we do require a signature on the following form acknowledging your receipt and understanding:

HIPAA Acknowledgement (required)

Treatment Plans, Risks & Inconveniences (required)