Patient Information

New Patient Paperwork:

• Acknowledgement of Privacy Practices-HIPPA
• Dental History
• Financial Arrangements
• Insurance Information Sheet
• Patient Acquaintance Form
• Smile Assessment Form

Returning Patient Information and Forms:

• Bonded Restorations
• Care of Mouth After Extraction
• Care of Mouth After Implant Placement
• Care of Mouth After Periodontal Therapy
• Consent for Surgery
• Inlays and Onlays
• Laser Therapy
• Patient Consent Form
• Porcelain Veneers
• Questions About Your Temporary
• Your New Crown