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.