We would like to welcome the new patients that have joined our family.
We know the selection of a professional dental practice for your child is important and we appreciate your choosing our practice.
We hope we exceed your expectations.
Thank you for allowing us to be an integral part of your family!
English:
Download the New Patient Form (Adobe PDF)
Download the Authorization to Release Health Information (Adobe PDF)
Download the Family and Friends Form (Adobe PDF)
This form is if someone other than the parents will be bringing the child to the appointment.
En Espanol:
Download the New Patient Form (Adobe PDF)
Please Note:
Federal law requires all healthcare practices to obtain, verify, and record information that identifies each new patient.
What this means for you: When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
