Patient Forms

Forms for new Dental Patients

Downloading, printing, and completing these forms prior to your arrival in our office will save you time when visiting our office.

Patient Registration

Patient Medical History

Privacy Practices (HIPPA)

Informed Consent

Sleep Study Form

70% of snorers have some level of sleep apnea, and Approximately 40 million Americans suffer from Obstructive Sleep Apnea with only about 10% of them having been diagnosed. Learn more on our Snoring and Sleep Apnea page where you can complete our online assessment. Alternatively, if you have an appointment for a consultation, you can complete the attached document and bring it to your appointment.

Apnea Risk Evaluation System (ARES) Questionnaire