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.

If you want to evaluate your smile, About Smiles could be helpful.

Thank you.

Adult Registration Form

Child Registration Form  (ages 14 and under)

Financial Options

About Your Smile