patient forms

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete all required forms and bring them with you to your appointment so we may better assist you in a timely manner.

Thank you for your confidence in our office, and we look forward to assisting you with all your dental needs.

Health History Form
Patient Information Form
Acknowledgement of Receipt of Privacy Practices
Statement of Privacy Practices
Insurance and Financial Policy Form

If you have any questions, please call us at (253) 475-7125.