Patient forms


Woman smiling on dental chair

Patient Forms:

Please refer to these forms before your first visit. Your time is important to us, and we strive to get you in and out quickly.


If you have any further questions, please contact us today!


- Authorization for release of information

- Patient welcome

- Payment arrangement request form

- Acknowledgement of receipt and privacy policy practices

- Notice of patient privacy

- COVID-19 Pandemic Dental Treatment Consent Form

- Appendix A COVID-19 Patient Triage Questions

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