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PATIENT FORMS




Patient Information

For your convenience, we have supplied our new patient forms in pdf format.  If you wish, click on the link below, print, complete the forms at home, and bring them with you to your first visit!  We look forward to greeting you!

New Patient Forms

Appointment Policy
HIPPA Form
Politica de Nombramiento
Formulario de HIPAA

HIPPA Forms

Release of Medical Records
Accounting of Disclosures
Record Release to Patient
Alternative Communications
Web & Social Media Release Form
Notice of Privacy Practices
Privacy Practice Consent Release Form
Aviso de Prácticas de Privacidad
Formulario de autorización de consentimiento de práctica de privacidad


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At our office, you’ll always find a friendly, professional staff that will go out of their way to ensure your visit to the dentist is a happy one!

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