New Patient Paperwork

New Patients who wish to fill out their paperwork in advance may download the forms below.

Please print them and bring them with you to your first appointment.

Patient Information Patient Medical History Health Information Disclosure Authorization Payment Information COVID-19 Pandemic Emergency Dental Treatment Notice and Acknowledgement of Risk COVID-19 Pandemic – Patient Disclosures Non-Participating Medicare/Medicaid Consent Form

Technical Note:

Our online forms are in PDF format to allow patients the convenience of printing and completing their health history and registration forms from home or work. Please download the free Adobe Acrobat Reader plugin from Adobe’s web site, if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.