Patient Forms

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment. If you are arriving for your very first appointment, please arrive 15 mins before your scheduled time as you will need to fill out new patient paperwork.

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

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

  • Please read our ‘Privacy Policy’ HERE

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.