Open Monday - Thursday 9 AM - 5 PM , Friday 8 AM - 4 PM
Open Monday - Thursday 9 AM - 5 PM , Friday 8 AM - 4 PM
Download (or print) the PDF below...
Fill out the entire form!
If there is anything you are unsure about, just ask us!
If you feel like there's information we should know but isn't covered on the form, your dentist will be more than happy to discuss it at your next visit.
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If you printed it, feel free to scan it and email it to us.
Or, if you'd rather just bring it in with you, that works too!
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