Patient Information and Medical History Form
Upon scheduling your no-cost consultation you will receive a link to complete a Health History prior to your appointment. If for whatever reason you're not able to complete the online form prior to your appointment, it will be necessary for you to arrive 30 minutes early to do so in office.
Complete Forms Below Prior to Diagnostic Records Appointment
You may complete the following forms by downloading and completing with Adobe fill & sign and returning them to us online, or you may print and complete them and bring them with you to your diagnostic records appointment.
HIPAA Notice of Privacy Practices
All new starting patients must read and sign the following form:
https://docs.google.com/document/d/1uf-qhdeF1MS_rFTiPcAQmgYGPGRAhmlGwefQAycfg5s/edit?usp=sharing
https://docs.google.com/document/d/1KT1Hbz7xr038Knj5s8oedgYNv6lOMpqfEL3tpGIHCGo/edit?usp=sharing
Temporo Mandibular Joint Questionnaire
All new starting patients must complete and sign the following form:
Patient Informed Consent
All new starting patients must complete and sign the following form:
Invisalign Informed Consent and Agreement
New incoming Invisalign patients only, please read and sign the following form:
https://docs.google.com/document/d/1Q9OsoRqtppVzoSeZOmca4lRpdWQOF7WD_9V9V3fc4Qw/edit?usp=sharing
