FORMS

To Complete the Following Forms:

Read the title and description of each form to identify what you need to fill out. To load the document, click the button located below the description. You may either email it to us, fax it, or bring it into your appointment. Our contact information including email and fax number is located on our Contact Page.

COVID-19 SELF
DECLARATION FORM

Due to the ongoing & rapidly changing situation with the COVID-19 Virus, we are requesting that all patients please complete this form before your dental appointment.

HEALTH HISTORY
UPDATE

If you have not had an appointment with us in over a year, or are a new patient, please fill out this form so we may get an updated health history, even if nothing has changed.

NO SHOW POLICY
CONFIRMATION

New patients are required to complete this form in order to confirm that they have read, understand and agree to our No Show Policy.

INFORMATION
UPDATE

All new patients must fill out this form, along with patients who need to update any of their information, including name, address, contact, and insurance changes.