New Patient Paperwork

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

All online forms should be completed 48 hours proir 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

HIPAA Compliant Badge

Our online forms are HIPAA Compliant to protect your personal healthcare information.

VETERANS AND FIRST RESPONDERS 50% OFF. 50% off initial consultation, diagnostic x-ray, and oral cancer screening! This applies to all veterans and first responders.Contact Us & Schedule an Appointment
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