Patient Forms

Dental History Form
Please bring this filled out form to your first visit.

HIPPA Privacy Rule
In compliance with the U. S. Department of Health and Human Services, please read and understand this document.  The form is to safeguard your privacy.  Bring questions on your first and any following visits.

Immediate Denture Care
This information covers care and instructions for you and your Immediate Dentures.  It is very important you understand this information prior to making the decision to have full-mouth or partial extractions.  Please call or email us with any concerns or questions you have, even if your are not one of our patients!

Patient Feedback
We would like to know how your visit went and what we can do to help you feel more comfortable.  Click here and let us know!  Thank you.