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Office Visits | Financial Information | Online Services | Office Tour
Patient Forms

Office Visits | Financial Information | Online Services | Office Tour | Patient Forms

patient forms

Patient Forms

patient forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Adult) PDF | DOC
  • Patient Form (Child) PDF | DOC
  • Financial Policies and Agreements PDF
  • HIPAA Notification PDF | DOC
  • HIPAA Release of Records PDF | DOC
  • Nitrous Oxide Consent Form PDF | DOC

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

American Dental Association (ADA) American Association of Orthodontists® (AAO) AAPD
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NEW - Virtual Visit ×

NEW - Virtual Visit

We are now offering appointments and consultations for pediatric dental and orthodontics virtually through the online platform Doxy.me. This safe, reliable and HIPPA compliant technology will allow us to see you from the convenience of your home.

Schedule Now

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