New Patient Forms

Medical History Form

Please download and fill-out our Medical History Form. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Download Our Medical History Form


Cosmetic Questionnaire

Download & print our Smile Evaluation Form.


HIPAA Privacy Statement

This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.

Click here to read the notice.


Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe's web site if it is not already installed on your system.

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HOURS OF OPERATION

Find Out When We Are Open

Monday:

8:30 am-12:30 pm

1:30 pm-5:30 pm

Tuesday:

8:30 am-12:30 pm

1:30 pm-5:30 pm

Wednesday:

8:30 am-12:30 pm

1:30 pm-5:30 pm

Thursday:

8:30 am-12:30 pm

1:30 pm-5:30 pm

Friday:

8:30 am-3:30 pm

Saturday:

Closed

Sunday:

Closed