|
Before your 1st appointment, please download the following documents. 
Then complete documents 1 through 4 and bring them with you when you visit our office.
Documents 4 and 5 are to be read prior to completing documents 1 through 4.
|
|
1 - Patient Information and Questionaire
|
Download
|
|
2 - Patient Record of Disclosures
|
Download
|
|
3 - Patient Acknowledgment of Receipt of Dental Marterials Fact Sheet
|
Download
|
|
4 - Patient Policy Consent
|
Download
|
|
Read Only - Dental Materials Fact Sheet
|
Download
|
|
Read Only - Notice of Privacy Practices
|
Download
|
|
|
