Patient Information

PATIENT INFORMATION

Save Time In Our Office

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please do not mail the completed forms to the office. Please bring them with you at the time of your scheduled visit.

Patient Registration Form

Medical History Form

HIPAA Forms(Health Insurance Portability and Accountability Act)

Financing

The office also accepts the option of payment through Care Credit-- a financing program for elective medical procedures. Patients may be pre-approved for Dental Fee Plan Financing with a low-interest monthly payment plan. Please contact our office for more information on financing options

Payment Options

We accept all major credit cards.