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Patient Forms

For your convenience we have made all of our patient forms available below to print out and complete in the comfort of your home. If you do not have Adobe Reader, click on "Get Adobe Reader" below to download a free version.

Online Patient Forms

New Patient Forms

  • Download Welcome Letter | PDF
  • Download Patient History | PDF
  • Download HIPAA Release Form | PDF
  • Download Financial Policy | PDF
  • Download Office Policy | PDF

Existing Patient Forms

  • Download Alternate Consent Form | PDF
  • Download Sedation Pre-op Instructions | PDF
  • Download X-Ray Consent | PDF
  • Download Records Transfer Form | PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

together we can give your child a beautiful smile and a lifetime of dental health