Online Patient Forms
We are always looking for ways to assist and save you time. For your convenience, we have posted our patient forms online.
Please complete and print out ALL the forms and then be sure to bring them all with you at your first visit. We look forward to meeting you!
New Patients please print ALL forms: 1 (adult or child), 2, 3
1. Patient Information Adult or Child under 18 years of age
2. Health History
3. Dental History
Also for your information only is a copy of our Notice of Privacy Practices that federal law requires all health care providers to give to a patient.
4. Notice of Privacy Practices
Access Your Dental Account Through Our Website
By simply registering to log on through our website, now you can:
- Check appointment dates online
- See your account balance and insurance payments
- Make secure online payments
- Print out receipts for Flex Plan reimbursement
- and tax documentation
You will love the additional online conveniences – anytime, anywhere, 24/7 access. It’s secure, easy-to-use, and free. Now it just doesn’t get any better than that!