NEW PATIENT FORMS

Save time! Download, print and fill out your new forms at home

For your convenience, please download each form, print it out and fill out at your leisure. Also it is important to remember to bring in any recent (less than two years) x-rays.

• New Patient Registration & Health History Form
• Smile Evaluation Form
• HIPPA Form**
• Written Financial Policy

**Note, on the HIPPA form it is not necessary to print all 5 pages. Simply print and fill out the 5th page.

Please download Adobe Acrobat below to view/print forms: