Patient Forms

It’s our goal to put your needs first in our practice. During our thorough examination process, we look forward to getting to know you and what you value for long term oral health. Our commitment is to enter into a partnership with you based on trust and mutual responsibility.

In order that you may know what to expect as a patient in our office, we have provided links on this page to information regarding our privacy practices and our financial policies. There are also links to our health history and consent forms so that you may complete them and submit them online.

Our Policies

STATEMENT OF PRIVACY PRACTICES

FINANCIAL & INSURANCE POLICIES

Online Forms

HEALTH HISTORY

ANNUAL CONSENTS

HIPAA CONSENT FOR PERSONAL REPRESENTATIVES

HIPAA CONSENT FOR MINORS

HIPAA CONSENT FOR ADULTS