Understand which documents need to be done before your visit
Click download and print out each form
Fill out each document and bring them in to your next visit
Leave your name, number, and other relevant information to register with our office. Once you’re in our system, our staff will be able to track your appointments and other vital information. Feel free to print the form or fill it out electronically at your convenience.
Dental & Medical History
The more we know about your medical and dental history, the better we’ll be able to treat you. Please ensure that you thoroughly read through the medical and dental history form and accurately document your prior ailments and health status.
Many types of insurance are available to assist in covering the cost of dental care. Please provide accurate insurance information on this form and we will file your insurance claim on your behalf. The patient will still be accountable for any uncovered costs.
Every detail you can provide is important when we’re treating patients in an emergency. When filling out this form, please be as meticulous as possible, including all information that may help in treating the patient.