New Patient Forms

We are pleased to welcome you and your child to our practice. Please take a few minutes to fill out these forms as completely as you can to save time during your visit. Please bring this information along with your insurance card the day of the appointment.

Electronic New Patient Forms

Fill out securely online

Printable New Patient Forms

Download and print

Notice of Privacy Practices

Review our HIPAA policy

Electronic COVID-19 Form

Required screening form

Printable COVID-19 Form

Download and print

We look forward to working with you in maintaining your child’s dental health. If you have any questions, contact us and we will be glad to help.