Patient Forms

To save time at your first visit, please complete these forms and bring them with you to your appointment. We do our best to be prepared for your visit before you arrive. If your general dentist has referring information that you feel would be helpful for your treatment, please make certain we receive the ‘Release Form’ prior to your appointment. Following your visit, we will file an electronic insurance claim as a courtesy to our patients having PPO dental insurance plans. In order to do so, we will require a copy of your dental insurance information which should include the front and back of your insurance card. If you do not have a physical card, we will need the subscriber information including the Member ID, Claims address and Subscriber date of birth.  We look forward to meeting you in person for your appointment!