Skip to content
New Patient Forms
Please read and complete each form to register online as new patient:
Patient Screening Form
Appointment Policy
HIPAA Notice of Privacy Practices
Epworth Scale
New Patient Medical History Form
Musculoskeletal-Occlusal Signs Exam Form
Adult New Patient Medical Background Information
Treatment Consent Form
Whitening Procedure Terms & Conditions
DNA Follow Up Questionnaire
In Office Whitening Procedure Form