At this time our office is working to be part of the solution to prevent the spread of COVID-19 in our community. Learn More.

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.

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Specialist Network

As a Healthy Smiles Club member, you'll receive excellent care and discounts from our network endodontist and oral surgeon.

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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.