New Patient Forms

Make your first dentist office appointment even faster by using these printable new patient forms. 

You can save time by printing and filling in these forms yourself.  You can also fill out on your computer and print out the completed form.  (You will not be able to save.)

Our registration form is a PDF document file. You must have the current Adobe Acrobat Reader installed on your machine to view & print the forms.   If you do not already have Adobe Reader, you can download a free copy here

Patient Registration sheet 2015.pdf

Child Patient Info form.pdf

HIPPA authorization form.pdf

HIPPA Notice of privacy practices.pdf