New Patient Forms Needed on Your First Visit

If you are a new patient, you will need to fill out, sign, and submit a few forms upon your visit to our office.

You may download, print, fill out, and sign the following forms prior to your visit, and then bring and submit them upon your visit.

0 Combined forms

or

1 General form

2 History form

3 Insurance form (if paying through insurance)

4 Procedure form / 4 Procedure form in Spanish

5 Sedation form / 5 Sedation form in Spanish (if sedation is needed)

6 Sedation instruction

We are currently in the process of providing online forms for entering and transmitting data on the web.