Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms:

abode-reader note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Dear Patients,

We have been closely monitoring the updates regarding COVID-19 outbreak from the various state and federal entities. In light of the most recent recommendations, our office has made the very difficult decision to close our office to handle emergency visits only. Please allow us time to contact you if you had an appointment scheduled during this period in order to reschedule your appointment. At this time, we hope to be operating again by Wednesday, April 22nd, but realize this date may change as well.

During this closure, we will still have staff on hand at various intervals to handle true dental emergencies. Please know, this is an incredibly difficult decision for us to make, but we have to weigh the importance of your safety and the health and well-being of our team.

While we have never been through anything like this before, we are committed to moving forward with positivity and hope that “this too shall pass.” Keep smiling, stay positive and show kindness to one another as we navigate this storm together.

Sincerely,