No printing necessary. Simply complete the forms online and then submit.

Please click the appropriate link to complete the new patient forms.

Forms located on a secure, HIPPA compliant portal to protect privacy and security.

Financial Policy

We require recent x-rays for all new patients. We will accept x-rays from another dental provider if they were taken within 6 months to 1 year prior to your initial visit to our office. Otherwise, we will take a full set of x-rays during your first visit. We will also take vital signs as needed, this will be followed by extra-oral and intra-oral pictures of your mouth and a comprehensive examination including oral cancer screening before consulting with you.

Our philosophy is to treat as conservatively as possible while offering the best options to attain maximum treatment goals. Our financial coordinator will provide an estimate of any required treatment and provide payment options.

Please notify the office if you have any medical conditions or concerns prior to your first visit (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension).

We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, and other signs of periodontal disease.

Please Note: All patients under 18 years old must be accompanied by a parent or guardian at all appointments where treatment may be required.