New Patient Forms

New patients must complete our Health History Form. You have two options: 1) complete the form online, and 2) print out the form and bring it in at your first visit.

Online Submit Health History Forms

Complete the appropriate online form below prior to your first visit to our office.

• Child/Adolescent Health History Form
• Adult Health History Form
• COVID Questionnaire Form

Printable Health History Forms

Print and complete the appropriate form below prior to your first visit to our office.

• Child/Adolescent Health History Form
• Adult Health History Form
• COVID Questionnaire Form

Informational Documents

• HIPAA Form
• Insurance Copay Form
• X-RAY Consent Form
• Orthodontic Care & Medical Assistance Patients Consent Form
• Accessibility Statement