Can I fill out my New Patient paperwork ahead of time?

Monday - February 15th, 2021

Yes you can! Click the links below to download and complete the forms prior to your appointment.

Patient / Health Information Form
Informed Consent Form
Notice of Privacy Policy Forms
Patient Financial Application Form
Protected Health Information Disclosure Form
Formulario de información del paciente
Formulario de consentimiento informado
Formulario de Aviso de Prácticas de Privacidad
Autorización para el uso y la divulgación de información confidencial de salud

Orthodontics may be provided by general dentists.
We do not discriminate based on race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age or disability.