New Patient Forms

Please prepare for your first appointment by completing our new patient information forms.

You can complete the medical history forms using our secure and encrypted forms, and submit them directly to our office online. Or, you can also print the pdf forms, fill them out at home and bring them with you to the office.

Orthodontic Patients

• Online Medical History Form - English
• Online Medical History Form - Spanish
• New Ortho Patient Information Form - English
• New Ortho Patient Information Form - Spanish
• Privacy Notice
• Receipt of Privacy Notice

These documents are in PDF format. If you’re unable to read PDF files, you can download Acrobat Reader free from Adobe.

Periodontal Patients

• Online Medical History Form - English
• Online Medical History Form - Spanish
• New Perio Patient Information Form - English
• New Perio Patient Information Form - Spanish
• Privacy Notice
• Receipt of Privacy Notice

These documents are in PDF format. If you’re unable to read PDF files, you can download Acrobat Reader free from Adobe.