New Patient Forms

To save some time, please complete these forms and send them to our email: [email protected] or bring them with you at the time of your first appointment. 

Please note: These are PDF files. If you are unable to fill in the blanks, advise to download the documents. 

NEW PATIENT REGISTRATION FORMS:

Patient Registration

Medical History

Dental History

Epworth Sleepiness Scale

Insurance Disclaimer

Acknowledgement


TEMPORAL MANDIBULAR JOINT FORM:

Patient Registration

Medical History

TMJ Questionnaire



PEDIATRIC FORM:

Pediatric Questionnaire



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Office Hours

We look forward to hearing from you.

Monday:

8:00 am-4:00 pm

Tuesday:

8:00 am-4:00 pm

Wednesday:

8:00 am-4:00 pm

Thursday:

Closed

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed