Print, complete and bring to your appointment.
Consent forms to read prior to your appointment. You will sign these electronically during the registration process at your appointment. (Please print and have signed if legal guardian applies.)
- Acknowledgement of Notice of Privacy Practices
- General Consent for Dental Treatment
- Patient Attendance Policy
- Patient Insurance Verification and Financial Responsibility Agreement
- Patient Rights and Responsibilities
Records Request Form (Required if you wish to obtain a copy of your dental record.)