Patient Forms

Contact Us

We believe that excellent care begins with open communication. If you need more information, have any questions, or want to schedule an appointment, please contact us!

 

h-smile4

You may access the following forms to assist us with your care.

Please complete the appropriate online form and click the submit button at the bottom of the form.

Online Forms


**We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable Form

Click on the link to download our HIPAA form.



*This form requires Adobe Acrobat Reader. Click the Adobe logo above to download.