Want to save time at your next dental appointment?
We love referrals of new patients ...whether they're your family, friends, business associates or casual acquaintences. For your kindness we'd like to send you a Starbucks Gift Card* as a token of our appreciation for your referrals. Who knows, you may be doing them a favor by helping them prevent the loss of teeth or other health challenges.
*Gift cards are sent after the new patient has
been seen in our office.
Patient Form: Adult Patient Information
Patient Form: Child / Dependent Patient Information
HIPAA Privacy Acknowledgement Form: Notice of Privacy Practices
Help us to help others and receive a Starbucks Gift Card.
Did you know that 25% of adults 65 years or older have lost all their teeth?
Or, that only 45% of all Americans have visited a dentist in the last 12 months?
That's precisely why we're passionate about seeing new patients.
You'll also find below downloadable PDF versions of HIPPA Privacy Policies and Acknowledgement Form. Reviewing and completing these forms prior to your appointment will additionally make your time with us even easier.
Of course you do! So for your convenience, we've made PDF versions of Personal Medical History forms available through the links provided below. Simply print and bring these completed forms to your next scheduled appointment.
This is especially important if it has been more than a year since your last dental visit.