New Patient Forms

It is my job to empower you to make quality decisions about your oral health care needs.

At the New Patient exam, me and my team will get to understand about the most important thing concerning you about your smile and oral health.  Please PRINT and FILL out the New Patient forms available on this page. This will also save time in getting you seated when you come in for your first appointment.  Do not hesitate to call us if you may have any questions or need help in filling out the forms.

Once your treatment is complete, we will place you in our program of continuing care. Your oral health will be regularly and carefully monitored in an effort to minimize future problems. As your dentist you can rest assured that you’ll receive the personalized attention you deserve. I will listen to your needs and answer all your questions. My staff and I desire to have your visit with us be the most relaxing and enjoyable possible. Our goal for you is a lifetime of optimum oral health and a winning smile.

PRINT NEW PATIENT FORMS (ENGLISH)

please print all 4 sections. You may keep the fourth section with you.

1] Registration Form

2] Health History Form

3] Office Policies

4] Dental Materials Fact Sheet

PRINT NEW PATIENT FORMS (SPANISH)

please print all 4 sections. You may keep the fourth section with you.

1] Registration Form

2] Health History Form

3] Office Policies

4] Dental Materials Fact Sheet