New Patient Forms

Welcome New Patients

To be ready for your first appointment please follow these steps:

1. Print and fill out "Patient Registration" form (If there is any information you do not know, leave it blank and we will be happy to help you complete it)

2. Print and review "Summary of Our Privacy Practices" and fill out the last page.

3. Print out "Patient Acknowledgments" and initial and sign on page 2.

4. Download a copy of the "Facts about Fillings Brochure" and review. This is for your records, there is no need to bring it in with you to your appointment.

Patient Registration - English

Patient Registration - Spanish

Summary of Our Privacy Practices

Patient Acknowledgements

Facts about Fillings Brochure

Facts about Fillings (Spanish)

Contact Us

Send Us an Email

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

By Appointment

Saturday:

Closed

Sunday:

Closed