New Patient Paperwork


We would like to welcome our new patients to our office. Please print and complete all provided documents and bring to your initial appointment. Please arrive 10-15 minutes prior to your appointment time.

The "New Patient Paperwork" PDF contains the following: 

  • Acknowledgement of Receipt of Notice of Privacy Practices (See Privacy Policy)
  • Request and Consent for Dental Treatment
  • Patient Information and Health History
  • Consent to Release / Request Dental Records
  • Financial Statement
  • Oral Cancer Screening Consent

View / Download / Print — New Patient Paperwork PDF