NEW PATIENT FORMS Print and complete the appropriate form below before you come in for your visit. NEW PATIENT FORMS Medical History Form Consent for Treatment Form Risk Assessment Questionaire Form HIPAA Privacy Practices Notice of Privacy Practices Patient Acknowledgment Form COMMUNICATION WITH OTHER PROVIDERS Medical Clearance for Dental Treatment Form Release of Dental X-rays Form Carotid Artery Letter to Physicians Form Letter of Medical Necessity for Sleep Apnea Appliances Authorization for medical release EPWORTH SLEEPINESS SCALE