Patient Forms


Please take a minute to download and fill out the patient information form before your first appointment. You can either bring in or email us a completed copy:

  • New Patient Forms | PDF
  • HIPAA Notice | PDF
  • Dental Materials Fact Sheet | PDF

Forms for Give Kids A Smile ®:

  • Registration Form | PDF
  • Privacy Notice | PDF
  • Photo Release Form | PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Business Hours

Monday9:00 AM - 6:00 PM
Tuesday9:00 AM - 6:00 PM
Wednesday9:00 AM - 6:00 PM
Thursday9:00 AM - 6:00 PM
Friday8:00 AM - 5:00 PM
Saturday8:00 AM - 4:00 PM (every other)

Contact Us

Request An Appointment