Bring Your Forms to Your Appointment

HEALTH & MEDICAL HISTORY

Medical conditions can affect your dental health. Thank you for sharing your medical and dental history. It helps us better serve you.

PATIENT INFORMATION

We have several customized ways to communicate with our patients. We can email, text, and mail statements, treatment plans, etc. There are also several different ways we can send out appointment reminders. Please fill out our patient information form and let us know what works best for you.

APPOINTMENT & FINANCIAL POLICY

Please read over our appointment and financial policy, so you know what to expect when it comes to confirming appointments and paying for treatment.

RECORDS RELEASE

For our comprenhive exam, we need two different x-rays. Bitewings detect cavities. This x-ray is usually recommended every year. A panoramic image gives us a big-picture view and is usually needed every 3-5 years. Let us know if you have one of these current x-rays from a previous office. We are happy to request them and any other relevant information on your behalf.

PARENTAL CONSENT

You may not always be able to accompany your child to their dental appointment. Sometimes they drive themselves or a friend or family member brings them. This form allows us to treat your child when you’re not present.

PRIVACY PRACTICES

Your privacy is important to us. Let us know if you have any friends or family members who might be calling to schedule appointments for you or ask about your dental care. You can list their names and contact info on our patient information form.