Patient Forms

Medical & Dental Health History Forms

To save you time at your first initial visit, please download and print the Medical and Dental pdf form.
Fill it out at your leisure and bring it to your first appointment.

Medical and Dental Health History Form

“Get to Know You” Form

Fill out our “Get to Know You” form, so we can get to know you better.  Bring it in for your first visit.

“Get to Know You” Form

Dental Insurance Forms

ADA Dental Insurance Claim Form

Delta Dental Insurance Claim Form

United Concordia Dental Insurance Claim Form

Credit Card Authorization Form

Credit Card Authorization Form for monthly billing