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New Patient Forms



New Patient Forms

These forms may be filled out from any type of computer or your smart cell phone. In order to better serve you, new patients are now required to complete your online form prior to your first appointment. This allows us to check all your information prior to your 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 prior to your appointment, it could result in extra time when you check in, delayed appointments, and we may have to reschedule your appointment.  Nobody wants that to happen.

Of course, if you cannot complete the forms online for whatever reason, you are more than welcome to do this in person at our office on a computer or on your phone. This will take additional time, so please plan on arriving 30 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.  This could take up to one hour or more to do so.

Once the 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!