The first 3 forms can be filled out before you come to the office to save time.

1-Patient Information

2-Medical History

3-Financial Policy

If patient has a significant medical history , we may need a physicians ok for treatment . Physician's authorization for dental treatment

If a payment plan is arrainged, or someone else is paying for you, please fill out Credit Card Charge Authorization Form We will need a copy of credit card and Drivers License also.

Records Request Form

X-Ray Request Form

Authorization to Release Dental Records