Downloadable Forms

We are delighted to welcome you to our practice and are pleased that you chose us to serve your dental needs. We are serious about providing superior dental care at reasonable prices, and proud of our dedication to our patients. Our goal is to help you feel and look your very best through excellent dental care.

To facilitate being seen just as soon as possible at the time of your appointment, below are the New Patient, Financial Agreement and Hipaa Forms that you can download and complete before your arrival. Please remember to bring them with you at the time of your appointment .

PDF
DOC
 
New Patient Form
Webconsent Form
Financial Responsibility Agreement
Hipaa Agreement
Rate Your Smile

To be able to read a PDF file you will need Acrobat® Reader® installed on your computer.
If you do not have Acrobat Reader, a free version of Adobe Acrobat Reader is available from Adobe's website.
The Word Viewer is for users who do not have Microsoft® Word; it allows the user to print and view Word documents.