Notice: We collect information from our patients about their health history, their family health history, physical condition and dental treatments. (Collectively referred to as “Medical Information”). Patients’ medical information is collected and used for the purpose of diagnosing dental conditions and providing dental treatment. All the information collected remains private and confidential. If you have any questions or concerns about our policy please contact us.

 

Medical Dental Health Form

Download this form if you are a new patient. Please print it and bring the completed form to our office to speed up your registration process. We look forward to seeing you soon!

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Patient Chart

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PIPA Consent Form

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Referral Form

 

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