Forms

Please click on the respective form to download it.


Financial Agreements

Payment for Services

In order to maintain the highest quality of patient care, our office operates on a fee-per-service basis. The fee for the treatment is due on the day that the treatment is rendered. Patients are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary fees. We can assist you in completing and submitting your dental claims to your insurance. This way all you have to do is come in and get the treatment you need without having to do the leg work!

Consent Form

Please take the time to fill out this patient consent form, sign and bring it in with you at your scheduled appointment.

Patient Registration Form

If you are coming to our office for the first time for either a specific, emergency or a new patient exam, please take the time to fill out this patient registration form, sign and bring it in with you at your scheduled appointment.

Braces Resource Materials

Please download and read for your reference.

Post-Op Instructions for Periodontal Surgery

Please download and read for your reference.

Post-Op Instructions for Tooth Extraction

Please download and read for your reference.