By filling out these forms ahead of time you will save significant time on your visit. If you have any questions when filling out the form, please do the best you can, and our staff will assist you with your questions on the day of your appointment.
The following forms can be filled and submitted online form any device (phone, tablet, laptop or desktop).
At the end use your finger or mouse to sign the forms digitally.
|Patient Personal Information Consent|
|Adult Dental Questionnaire|
|Children's Dental Questionnaire|
|Patient Health History|
|Dental Services Financial Agreement|
|Authorization for Release of Dental Records|
For the healthiest gums use these formulas for brushing, flossing, massaging gums, mouth-rinses, proxa-brushes, sulca-brushes, rubber-tip stimulators to overcome sensitive teeth, to ease the recovery of oral surgery, and for general overall cavity prevention.
A beautiful smile can give patients a lifetime of happiness!