The forms have been organized into categories below. Filling out the necessary forms prior to your appointment insures that we will be able to keep on schedule and maintain accurate records for making claims as well as taking care of our patients’ dental needs.
Notice: You will need the Adobe™ Acrobat Reader to view forms. If you do not have Acrobat Reader, you may download the program free from Adobe.
Please download, print and fill the forms out prior to your first appointment. The forms can be mailed or brought to the appointment 5-10 minutes prior to the appointment. These forms can also be scanned and emailed to firstname.lastname@example.org.
If you need your records released from a previous Dentist, please fill out the Records Release Form and submit it to your previous Dentist.
Please be ready to update the forms either by downloading from this site, printing and bringing with them to the appointment or update them at the office.
Account information needs to be updated at least once a year for a family or any time that there is a change in billing or insurance information.
Patient Medical History needs to be updated once every six months per patient.