New Patients

Please print out the Admission Form, Past Medical History Form, and Consent Form. New pediatric dental patients should also complete the dental pediatric consent form. Bring your completed forms, insurance and/or discount card, co-pay and all medications to your appointment.
Admission Form - English
Admission Form - Spanish

Medical Patient Past Medical History Form
Dental Patient Health History Form - English
Dental Patient Health History Form - Spanish

Privacy Policy
Consent Form - English
Consent Form - Spanish

Pediatric Dental Consent Form - English
Pediatric Dental Consent Form - Spanish

Discount Program Appointment Checklist

Please bring to your appointment all of the information that applies to your current situation to expedite your qualification process.
Discount Program Checklist

Miscellaneous Forms

Release of Medical Records
Release of Medical Records - Spanish
Sports Physical Form
Self-Management Tools
Living Will - English
Living Will - Spanish
Chiropractic Forms