Click to open any of our online forms. Each of these forms are in PDF and DOC format. The PDF forms require Acrobat Reader, and the DOC versions require Microsoft Office. You probably already have Acrobat Reader installed. If you don't, you can click here to install it for free. You can then print the form, fill it out and bring it with you on your next appointment.

Planning on becoming a patient or preparing for your first appointment? Use this form and save time when coming in to the office.

New Patient Form (pdf)
New Patient Form (doc)

Please use this form to update your child's dental insurance information. We appreciate a call to notify us of any changes in your child's medical history or medications being taken at this time. If your child has a heart condition or medical condition that requires an antibiotic to be given prior to the dental visit, we are please to assist your family by calling in the appropriate prescription to a nearby pharmacy. 

Insurance And Medical Update Form (pdf)
Insurance And Medical Update Form (doc)

Statement of Privacy (pdf)
Statement of Privacy (doc)

Acknowledgement of Privacy (pdf)
Acknowledgement of Privacy (doc)

Authorization For Release of Dental Records (pdf)
Authorization For Release of Dental Records (doc)

Save time! Print this form and fill it out prior to your appointment or fax it to our front office dental team at 425-355-0767.