Patient Resources
New Patient Forms
Download and complete these forms before your first visit
to speed up check-in.
Patient Information Forms
⦿ New Patient Health History
⦿ Consent and Authorization
⦿ HIPAA Privacy Notice
Insurance Information
⦿ Insurance Authorization Form
⦿ Benefits Verification
Payment
⦿ Financial Agreement
Pediatric Specific
⦿ Parent/Guardian Consent
⦿ Child Allergy Information
⦿ Behavioral Notes
Orthodontic Specific
⦿ Orthodontic Treatment Consent
⦿ Invisalign Agreement
How to Complete These Forms
Download forms as PDF, print, complete, and bring to your appointment.
Or download, fill digitally, and email back to [email] to have them ready when you arrive.
Download the PDF
Click the download button to save the form to your device.
Print & fill out
Print the form and complete it by hand, or fill it out digitally using a PDF editor.
Bring to your appointment
Bring the completed form with you, or email it to us ahead of time.
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