New Patient Forms
Save time at your first visit by completing your new patient forms online before your appointment.
Online Forms Available
Complete these forms at your convenience before your first appointment
Patient Information Form
Basic contact and personal information
HIPAA Privacy Notice
Review and acknowledge privacy practices
Photo/Testimonial Release
Optional consent for photos and reviews
How to Complete
1
Click Form Links
Select the forms above to get started
2
Fill Out Completely
Answer all required questions
3
Submit Electronically
Click submit when finished
4
We'll Have Them Ready
Forms ready for your visit
Secure & Confidential
Your privacy and security are our top priorities
HIPAA-Compliant Forms
Meets all federal privacy standards
Encrypted Submission
Secure transmission of your data
Your Privacy Protected
Information kept strictly confidential
Secure & Confidential
Gather these items before starting the forms to make the process quick and easy:
Insurance Card Information
Policy number, group number, and subscriber info
Current Medications List
Include dosages and prescribing doctors
Dental History Information
Previous dental work and current dentist
Emergency Contact
Name, relationship, and phone number
Parent/Guardian Info
Required for patients under 18 years old
Questions About Forms?
After Submission
Confirmation Email Sent
You’ll receive a confirmation that we’ve received your forms
Forms Reviewed
We’ll review your information before your appointment
Questions Addressed
We’ll contact you if we need any clarification
Ready for Your Visit
Everything will be prepared for your first appointment
Haven't Scheduled Your Appointment Yet?
Book your free consultation and we’ll send you the forms to complete before your visit.