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New Patient Forms


If you're a new patient, welcome! You may complete the following forms and bring them to your first visit if you would like to save some time.



New Patient Form
Agreement to Pay for Treatment Form
Dental History Form
Medical History Form


If you would like us to coordinate with another dental clinic to request x-rays, please complete these forms:



X-Ray Release Form

HIPAA Authorization Form

Contact Us

Send Us An Email Today! We'll Provide You With That Winning Smile!

Hours Of Operation

We look forward to hearing from you.

Monday:

8:30 am-5:30 pm

Tuesday:

8:30 am-5:30 pm

Wednesday:

10:00 am-7:00 pm

Thursday:

8:30 am-5:30 pm

Friday:

Closed

Saturday:

8:00 am-12:00 pm

Sunday:

Closed