Patient Forms

Patients Forms

Confidential Info Questionaire
Medical History
Dental History
Medical Clearance

Privacy Policy

Dental Photography Release
Privacy Notice 1
Privacy Notice 2

CDA Authorization

Release Records from CDA
Release Records to CDA

Financial

Financial Arrangements
Credit Card Authorization Form

TEXT OUR OFFICE
Your Name: Your Cell Phone Number: Text Message:
Text message is limited to 160 characters.
HOW IT WORKS
Enter your Name.
Enter your Cell Phone Number, area code first
Enter your text message in the box.
Click "Send Text"
A copy of this text will be sent to the office and to your cell phone. The office's reply will also be sent to your cell phone where you can continue the text conversation.
Note: Mobile message and data rates from your cell phone carrier may apply.

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