For Our New Patients

In order to make your first visit to our office as easy as possible we offer the following documents you can complete, print and bring to your first appointment.

You will need Adobe Reader® in order to view and print these documents. You may obtain it here. This is a free, safe download.

— Medical History Form

• PDF (click the back button in your browser when done viewing and/or printing document)

— Smile Evaluation

• PDF (click the back button in your browser when done viewing and/or printing document)

— Dental Insurance Information Form

• PDF (click the back button in your browser when done viewing and/or printing document)

— Notice of Privacy Practice

• Please review our Notice of Privacy Practices and then complete our Acknowledgement, print it and bring with you to your first visit. We only need the signed and dated Acknowledgement, it is not necessary to print out the Notice. Acknowledgement of Notice PDF (click the back button in your browser when done viewing and/or printing document)

— You might also like to review our list of items of items that we provide during your first appointment and all continuing care appointments.