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Patient Forms

Welcome new patients! Please print and fill out the 3 forms below. Remember to bring them with you to your appointment. Otherwise, please plan to arrive 20 minutes early for your appointment so you will have time to fill them out in the office.

Patient Information Patient Information

Health Questionnaire Health Questionnaire

HIPPA Information HIPAA Information (read only - no need to print)

HIPPA Form HIPAA Form

 

Other Forms:

Request for Records Transfer Request for Records Transfer

Records Release from Family Dentistry Records Release from Family Dentistry