Patient Forms

Please print out and complete "New Patient Forms", "HIPAA Acknowledgement" and "Credit Policy"

and bring to your first appointment.

 

NEW PATIENT FORMS

RELEASE OF INFORMATION (SUBMIT TO YOUR DENTAL OFFICE TO HAVE RECORDS TRANSFERRED TO US)

HIPPA ACKNOWLEDGEMENT.doc  

CREDIT POLICY.docx

 

For your information - Read Only (No Need to Print)

HIPAA POLICY - NEW 08.doc 


ACCESSIBILITY