tiny teeth, BIG SMILES!

New Patient Forms

New Patient Forms

We are incredibly excited to welcome you and your child/children to our practice! 

We value your time and understand you may have a busy schedule so reducing time spent filling out paperwork will lead to quicker and smoother visit. For your convenience, we have made our new patient paperwork available to be filled out by clicking on the link below. This information will be sent electronically to our practice prior to your visit. 

NEW PATIENT ONLINE REGISTRATION

We also have our forms available for download. Simply print out the forms, fill them out and bring the completed paperwork with you to your appointment. 

If you have any questions, our office is ready to answer your questions. Call us anytime. If you are unable to fill out the forms prior to your appointment, we ask that you arrive 15-20 minutes early on the day of your scheduled appointment to complete the New Patient paperwork.

PATIENT REGISTRATION FORM

MEDICAL HISTORY FORM

HIPAA FORM

 CONSENT FORM

Formas Españolas

PATIENT REGISTRATION 

MEDICAL HISTORY 

HIPAA FORM