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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 Form.pdf
Health History Form.pdf
HIPAA Form.pdf
Dental Records Request.pdf
HIPAA Information Form (Page 1).pdf
HIPAA Information Form (Page 2).pdf
Authorization to Release Dental Records.pdf