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Patient Forms

To help expedite your first visit, please fill out the Registration Form prior to your appointment.

Patient Health History Form

COVID-19 AAOIC Supplemental Informed Consent.

COVID-19 Health Questionnaire

You can also help us expedite the assessment process by having the following information gathered (where applicable) at

  • A panoramic X-ray taken within the past six months. If you do not have one available we will be happy to take one at your initial appointment.
  • Your dental insurance card. By providing this information at the first visit, we will be able to give you a more accurate estimate of your costs.


Text message is limited to 160 characters.


  1. Enter your Name.
  2. Enter your Cell Phone Number, area code first
  3. Enter your text message in the box.
  4. Click "Send Text"
  5. A copy of this text will be sent to the office and to your cell phone. The office's reply will also be sent to your cell phone where you can continue the text conversation.
Note: Mobile message and data rates from your cell phone carrier may apply.Close ClickToCall Button
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