If you would like to electronically complete your child’s new patient packet on the computer, please click on the hyperlink below.

https://yapi.me/co?m=qe1ng471vjaeo

If you would like to print our office form prior to your child’s dental visit, please click the hyperlink below and bring the completed papers on your first visit. Thank you.

HIPAA PAGE 1

General Consent

PHOTO RELEASE FORM

Designation of Another Person to Consent for Medical Care

Financial Policy

Pediatric Medical History

Release of Information

Consent for Fluoride

HIPAA PAGE 1  HIPAA PAGE 2 HIPAA PAGE 3 HIPAA PAGE 4 HIPAA PAGE 5 HIPAA PAGE 6