Patient Forms

To help make your visits as short and simple as possible, we provide our patients with certain forms that you can fill out in advance.

Patient Forms
We use this information to make sure we understand your full medical and dental history and are aware of any current care, treatments, or issues you are experiencing. Please be as accurate and thorough as you can so that we may provide you with the best and safest care possible. Click here for the Adult form. Click here for the Child form.

Health History Update
Please complete this form if you are a returning patient but it has been over a year since your last visit. The information you provide here will make us aware of any changes in your medical history or current treatments.

HIPPA Form
By signing this document, you acknowledge that you have been offered our Notice of Privacy Practices (below), in compliance with your rights under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

Notice of Privacy Practices
We provide our Notice of Privacy Practices here so that you may have a chance to read them and become familiar with them in advance. Please call us if you have any questions or concerns about these policies, or let us know during your visit how we can help clarify for you.