For your convenience we have made the following new patient forms available online.
You can print and fill these out at home and bring them with you to your appointment.

Smile Quiz
The Smile Quiz allows you to self-evaluate your teeth/smile. This will help us to create an appropriate plan of action to improve your smile.

Medical History
Although dental personnel primarily treat the area in and around your mouth, your mouth is a part of your entire body. Health problems that you may have, or medication that you may be taking, could have an important interrelationship with the dentistry you will receive.

Dental History
This form will allow us to understand your prior dental history and experiences and assist in creating an appropriate dental treatment plan for you moving forward.

Patient Registration
All new patients will need to fill out the Patient Registration form with your personal information and any dental insurance you may have.

HIPPA Form
This form gives your consent to our use and disclosure of your protected health information to carry out treatment, payment activities, and healthcare operations.

Oral Cancer Screening
Our practice continually strives to provide important enhancements in oral health care for our patients. We are concerned about oral cancer and screen for it in every patient.