Please complete this form for all children under the age of 18.
Please complete this form if you are a new patient over the age of 18.
All patients must complete this form so that we can ensure we provide you with best and safest treatment possible.
By law, all patients must complete the privacy notice so that we can be sure you fully understand your rights regarding your personal health information.
This form is needed when sending or receiving dental records to our office.
To make your appointment more enjoyable, you can download and complete these forms and bring them with you or fax them to 404-659-7616.