Patient Forms
Save time at your appointment by completing your forms in advance. Fill out the forms online now we will be able to check insurance coverage before you arrive.
Required Patient Forms
Complete these forms before your first visit to streamline your appointment and ensure we have all the information we need to provide excellent care.
Child Patient Information Form
Basic personal and contact info, medical conditions, medications, health background, and insurance.
Adult Patient Information Form
Basic personal and contact info, medical conditions, medications, health background, and insurance.
HIPAA Privacy Notice
Health information privacy rights and acknowledgment information.
How to Complete Your Forms
Click the link above
Click the link above to fill out the online form.
Fill Out Completely
Please complete all sections thoroughly. This helps us provide the best possible care and to give you a thorough cost including your insurance benefits
Pro Tip
Complete your forms online before your appointment to save 15-20 minutes of check-in time and get straight to your consultation!
Minutes Total Time
Ready for Your First Visit?
Download your forms, schedule your appointment, and get ready to start your smile transformation journey with confidence.