Forms

For New Patients

New Patients Form

Before your first appointment, tell us about your medical and dental history.

Covid-19 Screening

Before your appointment, complete this screening so we can determine if you have any symptoms that will prevent us from treating you.

Doctor Referral Form

Referring a patient to us? Fill out this form.

Legal Referral Form

Does your client need treatment or evaluation for an accident?

Assessments & Questionnaires

Wondering if a dental treatment is right for you?

Cosmetic Assessment

Dreaming of a different smile? Fill out this form to see if cosmetic dentistry is right for you.

TMJ Questionnaire

Feeling pain in your neck or jaw? It might be TMJ.

TMJ Questionnaire (Motor Vehicle Accident Patients)

Were you in a motor vehicle accident? Fill out this form to see if your accident resulted in TMJ.

Sleep Disturbance Questionnaire

Are you losing sleep? It could be sleep apnea. Test your symptoms!