Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

• Patient Information Form (Child) PDF
• Medical History (Child) PDF
• Patient Form (Adult) PDF | DOC
• COVID-19 Supplemental Health Questionnaire DOC
• COVID-19 Supplemental Informed Consent DOC
• Patient Acknowledgement of HIPAA PDF
• Notice of Privacy Practices HIPAA PDF
• Dental Material Fact Sheet PDF

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