Patient Forms
Please take a moment to fill out our online patient survey.
Click the document links to automatically download the PDF forms* to your computer.
- Adult patients: Download the "Adult Registration Form".
- Parents of child patients: Download the "Child Registration Form".
- For Adult & Minor Patients: Download and Read the "HIPAA Privacy Policy".
- For Adult Patients: Download the "HIPAA Adult Consent Form".
- For Parents of Child Patients: Download the "HIPAA Minor Consent Form".
- Update forms: "Orthodontic Insurance Information" form to provide updated insurance information.
- General dentists: Download the "Referral Form" to communicate evaluation notes and directions for your patient.
Print out the completed forms and bring these documents to the office on your first visit.
*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.