For your convenience, you can download the patient forms below. Please take a minute to print and fill out the patient information forms before your first appointment: 

• Patient Form (Child) PDF
• Patient Form (Adult) PDF
• Notice of Privacy Practices (HIPPA) PDF
• Consent for Disclosure of Name &/Or Photo for Publication PDF
  As a contest winner, your signature is required on this form if you wish to have your name and/or photograph displayed on our office bulletin board and/or website.
• Cavity Buster's Coupon PDF
  For details on our Cavity Buster's Club, click here.

If you're unable to open PDF files, you can get Adobe Reader® for free.

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