We too wish there wasn’t so much paperwork, unfortunately we are obligated to subject you to this.
Dental Health Club
No Insurance? No Problem! If you’re a patient of record and wish to enroll in our Dental Health Club, please complete the form below.
New Patients
We are asking NEW patients to fill out the following electronic forms prior to their first appointment.
What you’ll need:
-
- The patient’s name and their appointment date
- To fill out the forms, a device that can open a webpage — a computer, a tablet, or a smartphone — whichever one you’re most comfortable typing with.
- Time: 15-30 minutes to fill out 5 forms, depending on the complexity of your medical/dental history and your level of comfort typing and navigating the forms.
Secure Electronic Forms
You can access our secure electronic forms here.
We respectfully request that the forms be submitted 3 days prior to your appointment. This will enable you to spend less time in our office. Failure to submit forms in advance or to confirm your appointment may result in your appointment being cancelled.
Printable Forms
If you would like to review our forms in advance, we have provided links to the PDFs here:
- New Patient Registration Form
- Medical and Dental History
- HIPAA
- Financial Policy
- Collection Disclosure and Consent
- Insurance Verification Form (only needed if you have commercial dental insurance)