Patient Forms

Form checkbox, dental patient form

Established Patients: We update your records on a yearly basis or at any time that demographic or health information has changed. To do so please download, print, and complete the front and back of our Health History Form and bring the completed form on your next visit.

Health History Form

New Patients: Please download, print, and complete the front and back of our Patient Registration Form and bring the completed form on your first visit.

NEW Patient Registration Form

COVID-19 Guidelines: Prior to your visit, we ask that ALL patients review our Infection Control Guidelines and our Patient Screening Form. Please reply as requested.

COVID-19 Screening Form

Infection Control Guidelines

Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.