New Patients: Please fill out the New Patient Form and the HIPPA & Financial Release. You can print the forms and bring your completed forms to your appointment or you may fill the forms out online and email to us prior to your appointment.
To email the forms back to our office:
1. Make sure you are using Internet Explorer (This will allow the forms to open correctly.)
2. Double click on the form
3. Fill out completly
4. At the end of the form on the lower right side, click the yellow submit button
5. Allow it to use your default email and click continue
6. Your email screen pop up and follow through as a normal email.
To email the forms with out Internet Explorer:
1. Click one time on the form
2. Save to your Desktop
3. Open in Adobe Reader
4. Fill out form
5. At the end of the form on the lower right side, click the yellow submit button
6. Allow it to use your default email and click continue
7. Your email screen pop up and follow through as a normal email.
At your appointment, please bring your Drivers License, and Dental Insurance card. If you have dental insurance and are not the policy holder we will need the name, social security, date of birth, and employer of the policyholder.
You are also welcome to scan your paperwork, drivers license, and dental insurance card and email it to us at firstname.lastname@example.org prior to your appointment.
**If you have difficulty with emailing the forms back to us, you are always welcome to print them out and bring them to your appointment.**