PATIENT FORMS

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We know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete online or download and print prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us is you have any questions about patient forms or your appointment.

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Please note that you’ll need the latest version of adobe acrobat to download all patient forms.

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DOWNLOAD TO PRINT Forms to Become a NEW Patient

REQUIRED  - Welcome form Medical History 

REQUIRED  - Notice of Privacy Practices           

REQUIRED  - Privacy Policy Acknowledgment 

REQUIRED  - Financial Policy                             

REQUIRED  - Appointment Policy                    

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COMPLETE FORMS ONLINE to Become a NEW Patient

REQUIRED - Welcome form Medical History  

REQUIRED - Notice of Privacy Practices          

REQUIRED - Privacy Policy Acknowledgment   

REQUIRED - Financial Policy                                           

REQUIRED - Appointment Policy                                  

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EXISTING PATIENT FORM UPDATES

DOWNLOAD TO PRINT - Forms for Existing Patients who require form updates every two years.

REQUIRED  - Welcome form Medical History  

COMPLETE FORMS ONLINE - for Existing Patients who require form updates every two years.

REQUIRED   Welcome form Medical History       

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General Dentist Forms –

• Participating Insurance and Patient Forms

• Non-Particpating Insurance and Patient Forms

• FFS (No Insurance) and Patient Forms

YOS -Orthodontic Forms –

• Adult New Patient Information

• Child New Patient Information

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Oral Surgery Forms –

• Participating New Patient Information

• Non-Participating New Patient Information

• FFS – New Patient Information

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