For New Patients

 

 

Welcome to your New Dental Home!

Each New Patient is required to complete the following forms before or at the time of their first appointment to our office. You are welcome to print and complete these forms if time does not allow for us to send you a welcome package in the mail.

 

     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adult Welcome Package

...includes an Introduction Letter, Patient Information, Insurance Information, HIPPA Privacy Policy and Acknowledgment, Adult Office Policy, Dental History Questionnaire and Infection Control Protocol

 

 

Child Welcome Package (under age 14)

...includes an Introduction Letter for Parents, Patient Information, Insurance Information, HIPPA Privacy Policy and Acknowledgment, Minor Office Policy, Dental History Questionnaire and Infection Control Protocol

 

Record Release Form

...complete this form to have your records released from your previous dental office. Often, dental records can be considered current for up to three (3) years after they are originally taken.

 

 

          

For Your Information

 

Financial Policy

 

Privacy Policy

 

 

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