Paperwork
Please take a minute to print and fill out the patient information forms before your first appointment:
New Patient Forms
- Patient Information Form | PDF
- Medical History Form | PDF
- Insurance Form | PDF
- Acknowledgement of Receipt of HIPAA Policies and Procedures | PDF
- Notice of Privacy Practices | PDF
- Orthominder Form | DOC
CBCT Form
- X-ray CBCT Information Form | DOC
Release for Minors
- Release of Information for Minors | DOC
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Smile!