Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

  • Insurance Form - PDF
  • Adult Medical History Form (English) - PDF
  • Adult Medical History Form (Spanish) - PDF
  • Adult Dental Clearance (English & Spanish) - PDF
  • Under-18 Medical History Form (English) - PDF
  • Under-18 Medical History Form (Spanish) - PDF
  • Under-18 Dental Clearance (English and Spanish) - PDF
  • HIPAA Form (English) - PDF
  • HIPAA Form (Spanish) - PDF

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