NEW PATIENT

With your first visit to our practice, our goal is to establish a relationship of trust with you. For your first visit, we ask that you come 15 minutes early so that we can obtain important information, like your medical history. You may use the links in the Patient Forms Section below to fill out your paperwork ahead of time. We will review this information with you during your dental appointment. If you take multiple medications, please bring a medication list or the prescriptions so we may record them accurately

PATIENT FORMS and QUESTIONNAIRES

Demographic Information
Dental History
Epworth Sleepiness Scale
Medical History
Medical History Disease List Questionnaire
Consent for Dental Treatment
HIPPA Statement
HIPPA Privacy Practices

Download all documents in one zip file

OTHER FORMS

Carotid Artery Letter to Physicians

Letter of Medical Necessity for Sleep Apnea Appliances