Patient Forms

Please take a moment to complete the digital Secure New Patient Forms before your first appointment:

• COVID 19 Screening Form
• Secure New Patient Forms
• Automatic Payment Authorization Form
• Notice of Privacy Practices (HIPAA)
• Parental Consent for Visit
• Financial Agreement  
• General Informed Consent  
• Initial Oral Health Questionaire  
• Medical History  
• Responsible Party Information