Patient Information


To save you time, you can print any appropriate form, fill in the information and bring it with you at your next visit. Before filling out forms, please make sure to download the newest version of Adobe Reader.

New Patient Initial Visit

Our goal is to put together an individual treatment plan to meet each patient’s specific needs. We will discuss your concerns, goals, and prior dental experiences. We will perform a clinical examination and take the appropriate x-rays. In some cases, we may opt to take study models to aid in planning. Together, we will formulate an individual plan to ensure your optimal dental health.

Please assist us by providing the following information at the time of your consultation:
Print and bring with you copies of all the applicable forms provided on this page, including registration, medical history, our smile evaluation, and media consent should you opt in.
Any x-rays taken by a previous dentist, if applicable.

A list of medications you are presently taking.

If you have dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

ALERTS: All patients under the age of 18 must be accompanied by a parent or guardian.
Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).