New Patient Forms
Online Medical History Form
Online Patient Information Form
New patients are welcome and encouraged to complete their online registration prior to their first appointment. This allows us to check all your information prior to their visit to verify that your child has no potential health problems that need to be discussed prior to their dental visit. As a courtesy to you, it also allows us to verify your dental benefits plan (dental insurance) to make sure there are no problems or hold ups when you arrive for your child’s appointment. Without having the proper health and insurance information, it could result in extra time when you check in, as we then have to do all these services while you and your child wait. Of course, if you cannot fill them out online for whatever reason, you are more than welcome to do this in person at our office. If so, please plan on arriving 20 minutes prior to your appointment to allow us sufficient time to review your health history, create your digital dental record, and verify your dental insurance and benefits. Usually we can verify this information online but may have to call your dental insurance company in some cases.
You can help yourself and us by completing the forms on the two links below. Once each form has been completed, please be sure to press the “Submit” button to automatically send us your information. Please know that we have taken every precaution to be HIPAA compliant and ensure that you and your child’s private health information remains secure and safe. Thank you for your help with this. Please call us if you have any questions or problems with any of these forms. One of our wonderful team members will be more than happy to help. Looking forward to seeing you!