Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Information and Medical History Form (PDF)

Classic Dental Office Policies Form (PDF)

Notice of Privacy Practices (PDF)

A Notice to our PPO (PDF)

Acknowledgement of Privacy Practices (PDF)

Private Health Information Authorization (PDF) 

Patient Record Request Form (PDF) 

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