Demographic Information and Medical History Form (For New Patients Only)
Please take a minute to fill out the patient information form before your first appointment. Once you hit the submit button it will be sent to us.
Annual Medical Update Form (For Current Patients Only)
Please take a minute to print and fill out the patient information form before your next appointment:
Dental Insurance Form
Please fill out our Insurance form for your first visit or if you have new insurance.
ACH Debit Form
Our office gives you the option to have payments automatically withdrawn from your checking account.
Credit Card Authorization Form
Our office gives you the option to have payments automatically charged to your credit card.
No-No Foods List
Print out our list of foods we recommend you stay away from while wearing braces.