New Patient Forms

New patients will be required to furnish us with the following information prior to their first visit.

This information will include:
  • Patient Information
  • Emergency Contact Information
  • Insurance Information
  • Cancellation Policy Acknowledgment
  • Medical History
  • Dental History
  • Consent for Treatment Form
  • Acknowledgment of Privacy Practices
  • Financial Arrangements

If you would like to fill out and print your new patient forms prior to arriving at the office, please download the following document:

New Patient Forms.pdf - Included in this PDF is our Client Information Form, Medical Information Form, Consent for Treatment Form, Acknowledgment of Privacy Practices, and Financial Arrangements Form

Testimonials

The office staff is welcoming and friendly. Everyone makes me feel comfortable. Also, I loved how flexible they were with squeezing me into their schedule when I needed work done. Ashley went over the cost before procedures were done, and the assistants educated me on how to maintain a healthier smile. I have definitely found my dentist!

Go to top