Downloadable Forms Below

patient forms

In order for our relationship to be mutually satisfying and beneficial, any questions or concerns you may have about planned treatment, fees for services, or your experience in our office should be brought to our attention promptly. Clear communication is essential to our continued friendship and professional relationship!

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Download Patient forms

Health History Form:

Please review and sign the Financial & Cancellation Policy forms, along with the Acknowledgement of Notice of Privacy Practices (copies of the HIPAA Privacy act are available at our office). We have also included the patient information and health history forms that you will need completed at your first appointment. Please bring this paperwork with you to the office.


We would like to welcome you to our periodontal practice and explain our office policies and goals. We believe in the theories of modern dental care that do not support the old premise of “When it hurts – fix it.” Through proper therapeutic care and periodontal maintenance, we believe that it is highly likely that most of our patients can expect to keep their teeth for many years to come. This not only preserves your smile, but contributes to your overall health!

Visit Us

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.