For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

• New Patient HIPAA Notice
• New Patient HIPAA Consent for Usage and Disclosure of PHI
• Escort Policy Designated Driver Form [Sedation Patients Only]
• New Patient Dental Registration and History
• Patient Testimonial and Feedback Form
• New Patient Financial Policy
• New Patient "Handle me with care" Checklist
• New Patient Office Policy
• No insurance? No problem with our Kleer Dental Membership 2017

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