For your convenience, the forms below can be filled out and submitted online, or if you prefer, we can provide paper forms for you in the office.

Covid-19 Screening Questions

We have a list of questions for screening patients before and after entry to the office. We screen prior to and after entering the office. Additionally, a mask is required upon entering the office. If you do not have your own, we will provide one.

Medical History Questionnaire

In order to provide you with the best possible dental care, we require a medical questionnaire to be filled out.

Consent to Release Records

Privacy Policy

The privacy policy informs you how we will collect and use your personal information.