Patient Forms

Now you can complete the necessary information at your leisure. The Patient Registration/ Health History Form is an electronic form that you can submit at the end. 

• Patient Registration/ Health History Form

Click to print the forms below.

• Electronic Funds Transfer Form
• Dental/Orthodontic Insurance Information Form
• Insurance Reimbursement Tracking Form
• HIPPA Notice of Privacy Practices
• HIPPA Notice of Privacy Practices Acknowledgement

If you need help filling out the forms, just call us or let us know when you arrive for your appointment.

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