New Patient Forms

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You may access the following forms to assist us with your child’s dental care. If you are using the online form, please complete and submit the form securely via this website. If you print the forms, please download, print and complete the forms, and bring them to your child’s first appointment.

New Patient Forms


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*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

**We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

***For Apple/Mac Users: You must use Adobe Acrobat Reader to submit the forms. To do so, simply right click on the form and save form. Open form in Acrobat Reader, fill out the form and submit.