Registration, Health and HIPAA
Please print, complete, and
bring these forms to your first appointment. They include a
Confidential Registration Form, Confidential Health Questionnaire Form,
and a HIPAA Privacy Acknowledgement Form.
The Privacy Notice is
provided for you to review. It explains how we care for and
protect your confidential health information.
Our Insurance and
Payment information explains how we handle your dental insurance if you
have insurance and our payment guidelines for any balance of the fees
that you may owe.
X-Ray Transfer Form.pdf
Send this form to
your previous dentist's office authorizing them to send your x-rays to