For your convenience, we have made all our office forms available to you via our website. If you'd like to fill out the forms ahead of time, please feel free to download the first five forms (please read but you don't need to print the HIPAA Rules form).
For all new patients, please download and print the forms and bring them to our office at or before your child's appointment date.
If any of your personal or child's information has changed and you wish to submit a new registration form or medical history form, please feel free to download the form and present it to our office staff at any time. Thanks!
Child Dental Medical History
Signature On File
Acknowledgement of HIPAA
Acknowledgement of Financial Responsibilty