New Patients Forms

Download  Patient Registration and Health History forms.

Links for Form Downloads:

Please print, fill out and bring the forms to the office at your next appointment to expedite the check-in process. We sincerely appreciate your help!

Accepted Insurance & Payment Options

  • Delta Dental
  • Blue Cross Blue Shield
  • Cigna
  • MetLife
  • Humana
  • Guardian
  • United Concordia
  • Aetna
  • Care Credit
  • MasterCard / Visa / Discover / American Express

Let us help you and your family to a better and brighter smile.  For more information, please contact us.