New Patient Forms

Click the link below to be directed to our new patient portal.

Please fill out both patient information and health history.

Once completed, your information will be entered into our chart.

Click here for new patient forms

 

 

 

If unable to fill out information on computer or by mobile device, please print, fill out and bring the following forms to your first appointment.

Simply download the .pdf forms and edit them on your computer at home (Note: Clicking the links below will open the forms on a new page. In order to edit the .pdf you must then download the forms). Once you have filled in the information, print the pages and bring them to your new patient visit. If you are unable to use this convenience we will be happy to mail you the forms to fill out by hand.

              Please print and fill out prior to new patient appointment:

• New Patient Form
• Medical History 
• Smile Evaluation / Sleep Evaluation

   

  Please read the following about our HIPAA compliance and office policy.  These are for patient review and do not need to be printed or brought to your new patient appointment.

• HIPAA Information
• Office Policy

We look forward to meeting you!