Downloads

 Children's Patient Registration

Please complete this form for all children under the age of 18.

 Patient Registration

Please complete this form if you are a new patient over the age of 18.

 Health History

All patients must complete this form so that we can ensure we provide you with best and safest treatment possible.

 Privacy Notice

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.

 Dental Release

This form is needed when sending or receiving dental records to our office.

Before you visit...

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.