Patient Forms

Please print the forms and bring with you at the time of your first appointment. Thank you and we are looking forward to seeing you.

• Patient Registration
• General Consent
• Financial Policy
• Oral Cancer Screening
• Medical History
• HIPA Authorization for Release of Identofying Health Information
• HIPA Medical Information Disclosure and Access Notice
• HIPA Notice of Privacy Practices

• TMD / Dental Sleep Medicine
• Records Release – Going Out
• Records Release – Coming In
• Military: Form 2813 Available in office