Patient Information

PATIENT INFORMATION

Financial Policy Information

PATIENT FORMS

The following forms are available for you to complete online ahead of your appointment.

Please click the button and you will be redirected to the form page.  Once you click submit, you will receive an email confirming the form was submitted.

Authorization for Third Party Disclosure of
Information and Consent to Treatment of a Minor
COVID-19 Pre-Screening Form
Consent for Internet Communications
HIPPA Notice of Privacy Practices and Consent
Office Policies
Oral Cancer Screening Consent
Patient Information and Health History
Personal Health Information Disclosure

In order to transfer your Dental Records, download the form below and send the filled out form to your previous Dentist(s).

Transfer of Dental Records