Patient Forms
Download Patient Forms
Speed up your check-in process by filling out the required forms in advance. All new patients need a completed New Patient Form and a Health History Form for each service they will be receiving (Dental, Vision, Orthodontics). And, if the patient is a minor and someone other than the patient's legal guardian is accompanying him or her, please complete the Legal Guardian Authorization for Minors form.
New Patient Forms
Dental Patient History
Dental Health History - English
Dental Health History - Spanish
Vision Patient History
Vision Health History - English
Vision Health History - Spanish
Orthodontic Patient History
Orthodontic Medical History - English
Orthodontic Medical History - Spanish
referral program