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New Patient Registration

Medical Patient Forms

The welcome letter and three brief forms will get you registered for treatment in advance of your first appointment. Please read them, complete them and bring them with you, or mail them to help us get your account set up and speed up the process for you.

  1. Please read our welcome letter before completing forms. Welcome Letter for New Patients
  2. Next, tell us about you:  Patient Information Form
  3. We’ll need this form to get your consent to treat you: Consent to Treat Form
  4. We’ll need this to gather information about your health history: Authorization to Release Healthcare Info

Dental Patient Forms

The welcome letter and four brief forms will get you registered for treatment in advance of your first appointment. Please read them, complete them and bring them with you, mail them or fax them to help us get your account set up and speed up the process for you.

  1. Please read our welcome letter before completing forms. Welcome Letter for New Patients
  2. Next, tell us about you: Dental Registration Sheet
  3. We’ll need some health history from you:  Dental Patient History
  4. We’ll need this form for consent to treat you: Dental Consent to Treat
  5. We’ll need this to gather information about your dental history: Dental Authorization to Release Healthcare Info
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