The goal of this practice is to provide exceptional customer service and excellent dental care with both a professional and personal touch. The following policies are implemented so we can better serve you.
We have attached the information for your convenience. Please download, print, and fill out all 5 of these forms prior to your appointment.
If you have any questions regarding any of the forms and/or policies, please contact our friendly staff and we will be more than happy to answer any questions you may have.
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This form covers all of your account information, including patient profile, Dental Insurance coverage, and emergency contact information. This form requires your signature for our records.

Download "Patient Registration Form"

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In order to better serve and protect you, we must be aware of any current and prior health conditions you may have had. Please read through carefully before signing.
We need your basic dental history on file. In addition, if there are any other conditions that we must know, there is an area to describe your conditions.

Download "Medical History"

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Download "RELEASE OF PATIENT RECORDS.pdf"

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Download "Medical/Dental History"