Forms & Resources
Every patient form can be filled out online or printed as a blank PDF. Submissions are saved to your chart automatically.
Choose to fill out online (recommended — auto-saves as you go, signed electronically) or print a blank PDF to fill out by hand.
The complete new-patient packet — registration, dental & medical history, policies, and broad treatment consents. Mirrors the office paper form so staff can pull up a familiar layout. Takes about 12-15 minutes. (Recommended for first visits.)
Shorter intake — just the basics if you prefer not to fill out the full packet today. We will gather the rest at check-in. Takes about 8 minutes.
For returning patients — quick update on changes to your medical history, medications, or allergies since your last visit.
Informed consent for dental procedures. Adapts based on your treatment (extraction, root canal, crown, implant, sedation, etc.).
Acknowledge our Notice of Privacy Practices and set how we may contact you about your care.
Treatment plan acceptance + financial responsibility. Signed when treatment is planned.
Authorize the release of your dental records to or from another provider, attorney, or insurance company.
Optional. Authorizes use of your photos or testimonial for practice marketing. Granular per-channel opt-in.
For patients under 18. Parent or legal guardian authorizes dental care and sets parental-presence preferences.
Appointment requests, insurance checks, and provider referrals.
Tell us your preferred date and time and our team will call you to confirm within 1 business day.
Open form →Request a free phone consultation with one of our doctors to discuss your dental needs.
Open form →Check if we accept your dental insurance plan. Our team will verify your coverage and follow up within 1-2 business days.
Open form →For referring dentists and healthcare providers. Submit a patient referral to our practice.
Open form →Care instructions after your dental procedure. View online or download as PDF.
Follow these instructions carefully to promote healing and prevent complications.
View & Download PDFWhat to expect after your filling and how to care for it.
View & Download PDFImportant care instructions following your root canal procedure.
View & Download PDFCaring for your new crown or bridge.
View & Download PDFInstructions for recovery after your deep cleaning procedure.
View & Download PDFMaximize your results and manage sensitivity.
View & Download PDFHelpful guides for before and after your visit.
Everything you need to prepare for your dental visit.
View & Download PDFDaily habits for a healthy smile between dental visits.
View & Download PDFWhat to do in a dental emergency before you reach our office.
View & Download PDFCall us at (619) 265-2262 or reach out through our contact page.
