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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