Please complete the following information and send it to us. We will contact you shortly regarding your situation.
For your convenience, we have to following forms available for you to download and fill out before your first visit with us:
Patient Information: This provides us with your contact information, as well as your insurance information.
Health History: This form gives us insight into your health history, and allows us to make note of any health issues you may have.
New Patient Values: We are here to help you obtain the smile you have always wanted. This form allows you to tell us how you currently feel about your smile, and to let us know exactly what you are trying to achieve.
Comfort Menu: Your comfort during your visit is a top priority. This form provides different options we have available to help you stay relaxed during your visit.
