Patient Information
Patient Forms
The forms our patients most often need, available here to download or print. Printed copies are kept at the front desk as well, and our team is happy to go through any of them with you.
Downloads
Available Forms
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Authorization for Release of Records
Authorizes us to send your dental records to another dentist, a specialist, or anyone else you name.
Download PDF -
Email & Text Message Consent
Tells us how you would like to hear about your appointments. Choose text, email, or both, and you can change your mind at any time by calling the office.
Download PDF -
Acknowledgment of Privacy Practices
Confirms you have received our Notice of Privacy Practices, which explains how your health information is used, shared, and protected.
Download PDF
Our Notice of Privacy Practices is published in full on this site.