patient information

For a shorter time in the waiting room, please print and complete these five forms and bring them with you to your appointment. Alternatively, you can arrive 10 minutes earlier to your appointment and complete all necessary forms in the waiting room.

We look forward to your visit!

what to bring:

ID
Insurance cards
List of medications
Forms (optional)
Referral card from referring doctor (if applicable)

patient forms

Patient Registration →
Medical Health History →
Informed Consent Form →
Appointment Cancellation Policy →
HIPAA Form →
Referral Form →

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smile with confidence.

Get in touch or request an appointment today to move closer towards the healthy, confident smile you deserve. From your first visit, each member of our staff will be prepared to provide you with a caring, gentle and successful dental experience.