Patient Forms

If you are a ‘New Patient’
Kindly print and complete these forms and bring them with you the day of your appointment.

Client registration & Insurance Information
Confidential Medical History
Patient Dental History
Privacy Policy Consent form
Covid Screening Questionnaire Form

If you are unable to print these forms in advance, please arrive to your appointment 20 minutes in advance so that they can be filled out upon your arrival.

If you are a ‘Returning Patient’
Kindly print and complete this forms and bring them with you the day of your appointment.

Covid Screening Questionnaire

If you answer yes to any of the questions listed on the Covid Screening Questionnaire Form after we have booked your appointment or before the day of your appointment, please call and inform the clinic, so that we can reschedule your appointment.

Patient Forms

Download Confidential Client Registration & Insurance Information

Download Confidential Medical History

Download Patient Dental History

Download Privacy Policy Consent

Download Covid Screening Questionaire