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New Patient Forms

Our patient forms are available for download below:

New Patient Forms – Age 17 and Under (7 Pages)

Information Form – 17 and Under
Acquaintance Form – 17 and Under
Health History
HIPAA Notice of Privacy Practices (2 pages)
HIPAA Acknowledgement Form
Signature Sheet

New Patient Forms – Age 18+ (7 Pages)

Information Form – 18+
Acquaintance Form – 18+
Health History
HIPAA Notice of Privacy Practices (2 pages)
HIPAA Acknowledgement Form
Signature Sheet

What You Should Know About Dental Insurance


Records Transfer Request Form


Office Hours

Monday:

8:00 AM-1:00 PM

2:00 PM-5:00 PM

Tuesday:

9:00 AM-5:00 PM

Wednesday:

8:00 AM-1:00 PM

2:00 PM-5:00 PM

Thursday:

8:00 AM-1:00 PM

2:00 PM-5:00 PM

Friday:

Appt Only

Saturday:

Closed

Sunday:

Closed

Contact Us Today!

We look forward to hearing from you.