Patient Registration

Below are links to several forms that can be reviewed, filled out, and brought to your appointment to make the check-in process easier.

• Medical History (Print and Bring)
• Acknowledgement of Receipt of HIPPA (Print and Bring)
• HIPPA Privacy Notice (To be reviewed, not printed)

If treatment is to be done you may bring the appropriate forms found below:

• Financial Policy
• Consent form for Surgical Treatment
• Consent form for Non-Surgical Root Canal Therapy
• Post Surgery Care
• Post Treatment Information