Patient Forms
Please take a minute to print and fill out the patient information forms before your first appointment:
- New Patient Form ONLINE
- COVID-19 Informed Consent ONLINE
- COVID-19 Health Questionnaire ONLINE
- Notice of Privacy Practices PDF
- HIPAA Privacy Act Acknowledgment Form PDF
- Dental Insurance Claim Form (complete this if you have dental insurance) PDF
- Headache Relief TruDenta® Health History Form (for TruDenta® only) PDF
If you’re unable to open PDF files, you can get Adobe Reader® for free.