Patient Forms

Online Forms

h-smile1You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable PDFs


Please help us by filling out the following forms before you visit. Bring the completed forms with you to your first appointment.



*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.