New patients will need to fill out these forms before their first appointment. You can print them in advance, stop by to pick them up, or come 15 minutes early to your appointment time, and fill them out in our office. 

New Patient Health History Form

New Patient Insurance Form

New Patient Privacy Practices HIPAA

New Patient Personal Information

 

 

 

 

HIPAA Patient Privacy Information to Read and Review

Non-Discrimination Policy

Language Assistance

 

We will take reasonable steps to provide free-of-charge language assistance services to people who speak languages we are likely to hear in our practice and who don't speak English well enough to talk to us about the dental care we are providing.