Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Medical History - PDF | Word
  • Registration Form - PDF | Word
  • Office and Financial Policy - PDF | Word
  • HIPPA Notice of Privacy Practices - PDF | Word
  • Authorization for Minor Child Accompany - PDF | Word
  • Frenectomy - PDF
  • Social Media Consent Form - PDF
  • New Patient Introduction Packet  - PDF

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