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.