Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment.

Online Health History Form

• Click here for online form

Printable Forms

• Medical History Form (Adult)
• Medical History Form (Child)
• Insurance Request Form
• Credit Card Authorization
• Risks and Limits of Treatment
• HIPAA Privacy Notice
• Retainer Instructions
• Essix Clear Retainer Instructions
• Food Warnings List

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