Please take a minute to print and fill out our new patient forms before your first appointment.

For adults please print and fill all of the following:

• Patient Information [PDF]
• Medical & Dental Information [PDF]
• HIPAA Form [PDF]
• Smile Evaluation [PDF]
• Practice Agreement [PDF]
• Credit Card Authorization [PDF]

For children please print and fill all of the following:

• Patient Information [PDF]
• Medical & Dental Child Information [PDF]
• HIPAA Form [PDF]
• Practice Agreement [PDF]

If you're unable to open PDF files, you can get Adobe Reader® for free.