New Patients Information

In our effort to be considerate of your time, we are making our New Patient Forms available to you to complete before your visit. You now may print, fill out, and bring these forms to your first visit making your initial registration in our system more efficient.

Please select the forms you require from the list below. These will download to your device after clicking.

New Patient Forms

  1. Registration and Insurance
  2. Appointment Policy
  3. Dental Health History
  4. Medical History Level 1 – Complete this form if no medical history
  5. Medical History Level 2 – Complete this form if medical history involves prescribed medications, recent surgeries or medical treatment.
  6. Notice of Privacy Practices Patient Acknowledgement

New Patient X-rays

Every effort is made to minimize radiographic exposure. Recent x-rays from other dentists should be requested to be sent to the patient in jpeg format and emailed to the office prior to your appointment. Many dental offices do not submit x-rays to our office requiring us to take our own x-rays.