Patient Registration

Below you will find the forms you will need for your first visit with us.  To print these forms just click on each link below.  The file will download.  Just click on print and fill out the form and bring it with you on your first visit.

All New Patients will need to bring these forms:

• Dental History
• Email and cell phone reminder card
• Financial Policies
• HIPAA Authorization
• BVDA Privacy Notice
• Medical History

Adult new patients will need:    

• New Patient Adult Form

Child new patients will need: 

• New Patient Child Form