Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

  • Medical History PDF
  • All About Your Child PDF
  • Release of Information PDF
  • HIPAA Form PDF
  • Financial Agreement PDF
  • Scheduling Policy PDF
  • Behavioral Management Care PDF
  • Helping Your Child During Dental Treatment PDF
  • Post-Operative Instructions For Resection of Tongue and/Or Lip Frenum Tie In Babies PDF
  • Lip and Tongue Frenectomy Informed Consent PDF
  • Notice of Non-Discrimination Policies PDF
  • Nitrous Oxide Authorization PDF
  • Consent for Treatment PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.