Patient Forms

Patient Forms

For your convenience, we accept cash, personal checks, money orders and major credit cards including, VISA, MasterCard, AMERICAN EXPRESS & DISCOVER. Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made with our office.  

New Patient Forms

Privacy Practices

HIPAA Consent Form

Acknowledgement of Privacy Practices

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.

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