PATIENT REGISTRATION FORMS

Please download, print, and fill-out our Patient Registration Forms. After you have completed them, please make sure to bring them on your first visit to our office. We look forward to helping you achieve a healthy and beautiful smile!

Health History Form .pdf ( 2 Pages)

Cancellation and Appointment Reminder Preferences.pdf

SCD Privacy Practices Notice.pdf ( 2 Pages)

Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.