In order to maximize your time at your first visit, we ask that you please print each form out and bring the completed forms with you to your appointment.  The Notice of Privacy Practices and Dental Materials Facts Sheet are for your information and do not need to be returned to us.  We will need all other forms (5 pages). 

 The 5 Levels of Dental Care We Offer

 Patient Information Form

 Financial Info

 Acknowledgement of Receipt of Privacy Practices

 Notice of Privacy Practices

 Dental Materials Fact Sheet

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.