Request an Appointment

Download Our New Patient Forms

Please take a moment to enter your information directly into our new patient forms. Print them and bring them with you to your first appointment to streamline the check-in process. You have two options for how to complete the forms:

Type your answers in directly and then print and bring them to our office. You can also print the forms, write your answers, and bring them to our office

Informed consent for Zoom form is needed only for those scheduling for our in-office teeth whitening process.

If you’d like to fill them out at our office, please arrive 30 minutes prior to your scheduled appointment time so that the doctor can see you promptly.

Patient Registration Form

HIPAA Privacy Policy Form

HIPAA Acknowledgement Form

Financial Policy