New Patient Forms

If you are a new patient you can fill out your forms in advance, right from your computer! Using the PDF links below you can print out your registration, and you can leave the pencils behind and type in the information on your computer before you print!

New Patient Registration Form
This is the form where you provide standard required information which, of course, is kept confidential.

Smile Analysis Form
This form is where you tell us what you like or dislike about your smile currently so we know how to best help you.

We thank you again for the confidence you have placed in us. We are complimented that you have  chosen us to serve you. You may rest assured that we will do everything in our power to make your visits and those of your family and friends as pleasant as possible. We know you’ll enjoy your visit, and to prove it we offer an unbeatable New Patient Special!