Patient Forms

For convenience at initial visits and throughout treatment, we have provided online access to new patient forms, as well as account access for current patients and professional referrals.

By completing these forms in advance, patients can:

1. Save Time – Complete forms at their convenience, avoiding last-minute delays before appointments.
2. Ensure Accuracy – Provide detailed and accurate medical information to help our team deliver the best possible care.
3. Maintain Privacy – All forms are encrypted and securely stored to protect patient health information.

Online Forms

New Patients – Please complete before your first appointment:

• New Patient Adult (over 18 years)
• New Patient Child

Current Patients – Please complete before your next appointment:

• Annual Update Please use this form to update contact info and designate individuals authorized to discuss your personal information. 
• Insurance Updates: Forms are sent directly to our billing department. They'll reach out if they have any questions.
  • Update Dental Insurance 
  • New Dental Insurance 
• Requesting Records: Once submitted, our Records and Billing Department will follow up if needed. 
  • Requesting X-rays 
  • Requesting Orthodontic Records 
• Professional Referrals: Once submitted, our Front Office Team will follow up if needed.