DENTAL PATIENT FORM DOWNLOADS

Save time and eliminate the hassles of filling out dental registration forms when you visit us. For your convenience, simply download and print the forms below.

Just complete before you visit, and remember the forms when you visit us for the first time.


COVID-19 UPDATES

We are excited to announce we will be resuming regular hours of operations on 5/11/2020 The safety of our patients and staff is important to us. We will be instituting the following guidelines:

1) All patients will be asked screening questions prior to being seen as well as completing these forms online via our website.

2) Patients and their guests will be required to wait in their vehicles in lieu of the waiting room until further notice.

3) Patients will have their temperature taken with an infrared thermometer prior to being seen.

4) Patients are strongly encouraged to complete registration online ( New patient forms/etc).

5) We have an air purifier in each treatment room for your safety. We have enhanced our safety precautions for our patients and our team members.

6) As always, we are here for you.

Thank you for being patient with us during these times, we look forward to continuing to serve you.

As a reminder, please report any signs or symptoms of COVID-19 within next 14 days to the office.

Download the ADA COVID-19 Screening Form

Online ADA COVID-19 Screening Form

If you are unable to print this form you can use our online screening

form below and click submit.