Dental Care Forms
Below are forms that you can download, print out, and fill out prior to your first visit with us. This will help make your first visit with us as quick and easy as possible.
Insurance Policy Form
This form explains our insurance payment policy. Please feel free to download and read it over so you will be able to bring everything you need with you to your first appointment. After reading it if you have any questions please give us a call, we'll be happy to answer any questions you may have.
Click To Download
Patient History Form
To give you the best possible care it is very important for us to know as much about your medical history as possible. For many procedures the treatment we choose depends on your medical condition and any medications you may be taking. Filling out this form and bringing it with you will speed things up on your first visit and assure you get the best and safest care possible.
Patient Registration
This form will give us the necessary contact and insurance information so we can be sure to bill you correctly. This form also helps us to correctly bill your insurance and gain pre-authorization if necessary. Additionally, this form will direct us as to how best to contact you.
HIPAA Privacy Practices
We know your privacy is important to you and it's important to us to respect it! We closely follow the HIPAA privacy guidelines. It's important for you to know what the HIPAA guidelines are. There may be times that you may want us to share information with a family member or medical practitioner and you may be surprised that we can't. Knowing what the HIPAA guidelines are may help avoid any unnecessary delays.
If you have any questions, please don't hesitate to call!
