Patient Forms
Please take a moment to complete the required forms below before visiting our office.
Pre-Appointment
Health Questionnaire
Existing Patient Update
Existing Patient update
(Español)
New Patient – Adult
New Patient – Adult
(Español)
New Patient – Child
New Patient – Child
(Español)
Healthy Smiles Membership
Annual Cleanings
Maintaining a routine twice-yearly checkup schedule is very likely to reduce your potential for serious dental problems.
Emergency care
In case of an emergency, our membership includes an emergency evaluation separate from standard cleanings and doctor exams.
Specialist Network
As a Healthy Smiles Club member, you'll receive excellent care and discounts from our network endodontist and oral surgeon.
20% Off
Dental service costs can add up over time, but our Healthy Smiles Members receive 20% off all dental services. Terms apply.
No Deductible
With our membership plan, there's no annual deductible, no annual maximum, and no waiting period to start receiving benefits.