Please download, complete, print, and bring the following forms with you for your initial appointment.
If you prefer, you may scan and e-mail them to firstname.lastname@example.org
We look forward to meeting you!
Medical History Form.pdf
Smile Survey .pdf
Records release form, if needed
Dental records release form .pdf
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.