Join Our Family

We welcome all new patients! Before your first visit, please have your former dentist send us a copy of your dental records, including recent x-rays. On your first visit, you will have a dental exam, x-rays (if needed), and a cleaning. Please allow approximately 1.5 hours for this visit.

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Eaglesoft Medical History

Financial and Appointment Policy

HIPAA Consent

Insurance Information Form

Patient Information Form

Release Records

You may release records to our office by filling out our secure online Release Records Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Printable Records Release Form

Notice of Privacy Practices

Click here to download our Notice of Privacy Practices Form

Prosthodontic Referral Form

Prosthodontic Referral Form


Adobe:To view and download the forms, you will need Adobe Acrobat Reader, a free program, installed on your computer. Please visit www.adobe.com to download the program.