New Patient FormsPlease take a minute to fill out the patient information form before your first appointment. You can print the forms and bring them to your first appointment if that is more convenient.
Our practice understands the importance of privacy and is committed to maintaining the confidentiality of your medical/dental information. We make a record of the dental care we provide and may receive similar records from other sources. We use these records to provide or enable other health care providers to provide quality dental care, to obtain payment for services provided to you as allowed by your health plan and to enable us to meet our professional and legal obligations to operate this dental practice properly.
We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information.