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WELCOME. LET US TAKE CARE OF YOU.
Please print and fill out new patient paperwork prior to arriving at your appointment. For new dental patients, include the Tooth Care questionnaire.
Individual forms are also available, as you may be asked for an updated sheet before your next appointment.
NEW DENTAL PATIENTS
PLEASE ALSO INCLUDE:
ACUTE (URGENT) VISIT
INDIVIDUAL FORMS
INDIVIDUAL FORMS
Alcohol / Drug Use Screening aka SBIRT >>>>>>>>>>
Generalized Anxiety Disorder Scale aka GAD-7 >>>>>>>>>>
Patient Depression Screening aka PHQ-9 >>>>>>>>>>
Authorization to Release Information >>>>>>>>>>
Sliding Fee Discount Application >>>>>>>>>>>
Consent to Treat a Minor Child >>>>>>>>>>>
Sports Physicals >>>>>>>>>>>
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