Adult Forms

1. Health History Form

2. General Consent

3. HIPAA Consent

4. Covid-19 Screening

Child Forms

1. Child Health History Form

2. General Consent

3. HIPAA Consent

4. Covid-19 Screening

Use these treatment consent forms ​if required.

1. Extraction Consent

2. Periodontal Consent

3. Root Canal Consent

​This section contains miscellaneous forms that may be required for your appointment.

1. General Consent

2. Covid-19 Screening

3. HIPAA Consent

4. Release Authorization