New Patient Forms and Post-op Instructions

New Patient Forms

To assist in the completion of paperwork, please download, print and complete the following forms and bring them with you for your child's first visit. Thank you!

 

Health History Updates

To assist in the completion of paperwork, for your convenience we've enclosed the six month health history update. We ask for this form to be completed at each cleaning appointment or if there has been any medical changes including: allergies, medications, surgeries, broken bones or any specialty doctor visits.

 

HIPAA Regulations

We understand how exciting your child's visit to the dentist can be which is why we offer a picture taken by a staff member in a secluded area to document their visit. Our office is required by federal law to follow HIPAA regulations which protect the privacy of our patients, health information, and staff. We do not allow photography (video or otherwise) on the premises. If you have any questions or concerns please feel free to discuss them with one of our staff members.

 

Instructions/Post Operative Forms

 

Motivational Charts