New Patient Form

The following forms below can be downloaded or viewed with a PDF program.

We have 3 different forms -Confidential Patient Registration, Patient Dental History, and Confidential Medical History.

Feel free to contact us if you have any questions which forms you will need to fill out before visiting our offices.

Brushing and Flossing


Brushing and flossing before the appointment will help our dentist properly examine your teeth with efficiency and ease.

Full Disclosure


It's important that our new patients understand that the more information we have about your dental history, the better. You shouldn't worry about being judged or embarrassed, so you can feel comfortable discussing all the pertinent details of your oral health habits, issues, and history. Our only concern is improving your oral health. Therefore, it's crucial that your complete, accurate medical and dental history is disclosed on your first visit.

Smile!


If you feel anxious before going to your first appointment, we want to remind you that we are here to help you achieve the smile you want regardless of your current oral state. We are here for you!