New Dental Patient & Medical History Forms

We ask new patients to provide information regarding their present dental condition and previous medical history. This documentation is required so that we may assess, record and effectively treat your dental problems.

• patient's name and address
• dental insurance plan (if applicable)
• doctor referral information
• dental patient care background
• medical history & current medications

To make your first visit to our office more convenient, you can speed up this process by printing our forms at home and filling them in before your scheduled appointment. Bring the patient forms with you at the time you're scheduled to see the dentist. Download new dental patient form »