Forms


IMPORTANT

All patients under the age of 18 must be accompanied by a parent or guardian at the consultation visit.

Please alert the office if you have a medical condition that may be of concern prior to dental surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)

For your convenience, you can download, then print the following forms, and bring it along on your first visit to our office.



Health History Form | .PDF
Insurance and Financial Policy Form | .PDF

You will need Adobe Reader to view these forms. If you do not have it or cannot open the forms please download it for FREE.

Download Adobe Reader

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