Help us get to know you and your child!
Please take a moment and fill out the appropriate new patient forms by clicking on the applicable button below. If you have any questions along the way or are having trouble, feel free to contact us at any time. Once your forms are submitted online they are sent directly to our office so we can review them before your first appointment.
Parental Consent Form
To better protect your family and privacy we have updated our parental consent forms. We recognize that there are times when your schedule doesn’t allow you to bring your child to his or her appointment, and want to be able to provide uninterrupted care during these visits. The updated form allows you designate person(s) to approve necessary x-rays, their cost, and acknowledge treatment plans recommended by the doctor on behalf of your child. We will include the form in your child’s chart and it will remain active until you specify otherwise. Please download the form to fill out and either send with your child to the appointment, or scan and email to firstname.lastname@example.org.
Bring your smile, but also remember to bring these to your first appointment:
- Your completed patient information form and caries risk assessment
- Your primary insurance card if you would like us to assist you in filing the claim for your reimbursement
We understand that you have a busy schedule, so when you’re preparing to visit us for the first time, please remember that your appointments can last between 60 and 90 minutes.