New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.


New Patient Registration

Please download, print and complete this form before your first dental appointment.
Click here to download (1 MB)


Snoring And Sleep Apnea Questionnaire

If you answer YES to two or more questions on the STOP BANG form please go to the Sleep Well WNC page for further screening forms.
Click here to download (1 MB)


HIPAA Form

Please download, print and complete this form before your first dental appointment.
Click here to download (258 KB)


 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader: