New Patient Offer
(Value of $150)
New cash patients only.
X-Rays are not included.
Complete the form below to take advantage of this offer!
Offer Expires 06/20/2019
For your convenience, we have supplied a Health History Form in pdf format. If you wish, click on the link below, print, complete the form at home, and bring it with you to your first visit! We look forward to greeting you!
New Patient Registration
Please download, print and complete this form before your first dental appointment.
Click here to download (1.2 MB)
Notice of Privacy Practices
This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Click here to download (229 KB)
Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.
Click here to download (295 KB)