Patient Documents

Download and print these PDF documents to complete prior to your appointment.

• • Sliding Fee Application
  • Registration Form
  • HIPPA Consent Form
  • HIPPA Consent Form – Child
  • Dental Health History – Adult
  • Dental Health History Child
  • Medical Records Release Form (Receive)
  • Medical Records Release Form (Send)
  • Sport Physical History
  • Sport Physical – Special Needs Supplemental Form