"> New Patient Packet

We are pleased to offer care credit as a payment option for our patients

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New Patient Packet

Our office requires that you fill out these forms and bring them to our office at the time of your first appointment.

  • Patient Information
  • Authorization for Release of Dental/Medial Information
  • HIPAA Privacy Policy Act
  • Financial Policy
  • Medical History
  • Additonal Doctor information

These forms are available in Word format, if you do not have Word, you can use the Word Viewer (free.)

Download Forms

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