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To continue making your dental experience pleasant, we have conveniently provided our registration forms below so that you may fill them out in the comfort of your home.
Please click on the links below to complete your patient information, medical history, and dental history forms, as well as the HIPAA acknowledgement form. Be sure to click “submit form” at the bottom of each page to have the forms securely e-mailed to us.
Acknowledgment of Receipt (HIPAA)
(Please print and either fax or email to us)
Release of Records
(This form is for existing patients only)