Patient Forms

For your convenience, we offer secure online patient forms that are processed electronically. There are distinct forms for child and adult patients. We ask that all new patients complete our New Patient Health History form online prior to their first appointment.

Click Here for the Adolescent New Patient Form

Click Here for the Adult New Patient Form

Below are PDF versions of our “Getting to Know You” form, a Referral Form, and information about our Cool Cash points program. Please contact our office if you have any questions regarding these forms. We look forward to meeting you!

Get To Know You (PDF)

Referral Form (PDF)

Cool Cash for Your Cleaning (PDF)