Patient Center
Please print and complete the office forms below prior to your child’s dental appointment. This will save you a little bit of time. There are 3 pages we would like you to fill out and bring with you: Parent & Insurance Info, Acknowledgement of Privacy Practices, and Financial Policy.
parent info and insurance info
Acknowledgement of Privacy Practices
It is not necessary to bring the Notice of Privacy Practices Forms, just the Acknowledgement. But for your convenience, we have made it available to view the Notice of Privacy Practices Forms below.
Notice of Privacy Practice – 1/2
Notice of Privacy Practice – 2/2
Please do not hesitate to call us if you have any questions.