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Patient Forms

Before your first appointment, you can fill out the Patient Forms ahead of time. If you are not able to print and fill out the forms before your appointment, we ask that you please arrive 15 minutes before your scheduled time to fill out new patient paperwork.

  • Child Patient Form (0 - 11 years of age) PDF

  • Adult Patient Form (12+ years of age) PDF

  • If you are unable to open PDF files, you can GET ADOBE READER® for free.

Release of Dental Records Consent Form

To release your dental records, please print and complete the form below and be sure sign the form. Send it to your clinic location by fax or email found on the form.

  • Release of Dental Records Consent Online Form PDF - HERE

If you’re unable to open PDF files, you can GET ADOBE READER® for free.