New Patient Forms

New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.


New Patient Forms

Please complete these forms before your first dental appointment.

Medical History

HIPAA Form

Acknowledgement of Privacy Practices

Financial Policy


Existing Patient Forms

This form needs to be completed for our zoom whitening service.

Zoom Whitening Information/Consent Form

Patient Payment Agreement


If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

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