Patient Forms

In order for us to treat your dental needs in the best possible manner, we need to know more about you.  Please download the appropriate forms and bring them along with you on your first appointment.  

All patients need to sign the HIPAA (privacy) form as well as the Financial Options form.

The “No Surprise Estimate” form is information about our guarantee of treatment estimates.  We want you to be informed of what your treatment, as well as, how much the investment in your oral health will cost.

Many patients have found that the About Smiles helps you to inspect your smile in an organized manner

Thank you.

Adult Registration Form

Child Registration Form  (ages 14 and under)

Financial Options

About Your Smile

No Surprise Estimates