accessibility ACCESSIBILITY

If you are a new patient, please fill out all three of these forms and bring them with you to our office.  These forms can be filled out on your computer and then printed, or you can print them and fill them out by hand. 

Thank you and please call our office if you have any questions.

    Patient and Financial Information

    Medical and Dental History

    Consent to Office Policy and HIPAA

    Authorization Release of Dental Records

Information Sheets:

    Cracked Tooth Syndrome

    Temporary Crown and Bridge Information

    Veneers Information

    Whitening Instructions

    Occlusal Guard Instructions

    Extractions Post Op Instructions


We accept most major PPO insurances. However, as an optimal-care dental practice, we strongly believe our patients deserve the best possible dental services we can provide. In an effort to maintain a high quality of care, we would like to share some facts about dental insurance with you.

    Facts about Dental Insurance

    Notice of Material Changes to Privacy Practices Policy


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