For your convenience, you can print our Medical/Dental Health History form and our Financial Policy form now and complete them prior to your first visit with us.
New Patient Start Up Forms
- Dental History Form
- Financial Arrangement Form
- Consent for Use and Disclosure of Health Information Form
- Consent to Share Information Form
- Release of Records Form (optional) : Your permission to request records, including x-rays, from another practice.
Click Form to Print
Questions? Call us today at (860)640-4283!