Clear Aligner Braces Invisalign

New Patient Registration Forms

Medical History and Registration

• Please download this form.
• Fill out the two-page form.
• Bring the completed and signed form with you to your appointment.

HIPAA Privacy Practices

• Please download this form.
• This is for your information only; please read completely. If you have any questions please call our office.
• You do not have to bring this form to your appointment.

HIPAA and Office Policy Acknowledgement

• Please download this form.
• Read carefully. If you have any questions please call our office.
• Bring the signed form with you to your appointment.

Photo Release

• Please download this form.
• Read carefully. Photographic evaluation and documentation is very important for most dental treatment that involves the esthetic zone. We would appreicate your cooperation in allowing us to use these photos for educational purposes.
• Bring the signed form with you to your appointment.