Patient Forms

Secure Online Forms

For your convenience, we offer secure online patient forms that are processed electronically. We ask that all new patients complete our New Patient Health History form online prior to their first appointment.

• New Patient Health History Form

As of May 14, 2020, all patients should complete the Supplemental Consent form below. This form only needs to be completed once.

• Supplemental Informed Consent Form

Prior to every appointment, please complete the Supplemental Health Questionnaire below.

• Supplemental Health Questionnaire

Printable Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, thoroughly filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

• Insurance Form
• Supplemental Orthodontics History Questionnaire
• History Form for Patient with TMD
• HIPAA Notice of Privacy Practices (Printing Optional)
• Advise for the Transferring Patient, Official AAO Form