Patient Forms

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Medical History (pdf)

HIPAA Form (pdf)

If you need a copy of your records, please fill out the form below.

Dental Records Release Form

If you need us to obtain copies of your records from your previous dentist, please fill out the form below.

Request of Records from Previous dentist

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Adobe® Acrobat® Reader

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


We combine experience with the latest in dental technology to deliver the best patient experience possible.