Patient Forms 2017-10-26T17:33:10+00:00

Patient Forms

The following forms are provided to you for download. Please follow the instructions below:

1. Right click on the link and select “Save Link As…”

2. Save the PDF to your desired location

3. Fill out the PDF with your personal information

4. In order to add a digital signature, you will need to use Adobe Acrobat Reader DC or above. If you don’t have it, you can get it here

5. You can then either save the PDF and email it to us, or print it out and bring it to your next appointment!

Adult Medical History

Download Form »

Child Medical History

Download Form »

Consent for Release of X-rays

Download Form »

Make An Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment.

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