New Patient Forms

Adult: 13 years of age or older:

Welcome Letter

New Patient Registration

Notice of Privacy Practices

Consent for Use and Disclosure

Acknowledgement of Receipt of Notice of Privacy Practices

Appointment Policy

Dental Material Fact Sheet

Authorization for Release of Information

Adult: 13 years of age or older:

Welcome Letter

Child Patient Registration

Notice of Privacy Practices

Consent for Use and Disclosure

Acknowledgement of Receipt of Notice of Privacy Practices

Appointment Policy

Dental Material Fact Sheet