Patient Forms

The philosophy of our practice is based on the concept of Preventive Dentistry. Our ultimate goal is to preserve your natural teeth for life and maintain your oral health at an optimum level.
It is our desire to provide your dental health needs as thoroughly and comfortably as possible. Our initial examination is used to obtain a complete dental history. In order to accomplish this we ask that you obtain the information on our previous treatment sheet one for each family member that is new to our office and bring it with you to the first appointment. When calling your previous office for this information, please also request your current x-rays to be sent to our clinic. Having this information available at your initial appointment will help our staff formulate a more comprehensive treatment plan for you.
Below you will also find a patient registration form, health history, notice of privacy practices, and patient/clinic information. We ask that you complete and bring to your appointment the patient information, and a health history for each new family member.
We look forward to being your dental provider. If you have any questions please do not hesitate to call our office.

Patient Forms

Please complete and bring the following forms to your previous dentist. To provide a thorough initial exam we do need your previous dental treatment prior to your initial dental appointment.

Please complete and bring the following forms to your first appointment.

Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.  Please review it carefully.  The privacy of your health information is important to us.

Patient/Clinic Information

We want to thank you for being a part of our clinic. The doctors and staff at our office strive for excellence in your care. This brochure is to provide you with some of our policies and procedures. We hope this information will help you with questions.