Medical and Dental History Forms, Consent Form and Privacy Policy

In order to serve you better, prior to the first visit, the Patient Information and the Medical and Dental Histroy Forms need to be filled out and reviewed.  Please read the Privacy Policy and sign the Consent Form.  If you need assisstance or have any questions, please email or call us and we would be happy to help.



Patient Information
Patient Information.pdf
Adobe Acrobat document [63.5 KB]
Medical and Dental History Form
Medical History3.pdf
Adobe Acrobat document [101.4 KB]
Health Consent Form
Health Consent Form.pdf
Adobe Acrobat document [128.1 KB]
Privacy Policy
Privacy Policy.pdf
Adobe Acrobat document [120.9 KB]

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905.607.9247 905.607.9247