New Patients

New Patient Forms

To prepare for your consultation please take a minute to download the new patient forms below. There are 2 questionnaires. Choose the one specific to your problem.

1. Patient Registration Form (pdf)
Patient Registration Form (rtf)

2. Medical/Dental History Form (pdf)
Medical/Dental History Form (rtf)

3. Consent of Disclosure (pdf)
Consent of Disclosure (rtf)

4. Office Policy (pdf)
Office Policy (rtf)

5. TMJ Questionnaire (pdf)
TMJ Questionnaire (rtf)

6. Sleep Apnea / Snoring Questionnaire (pdf)
Sleep Apnea / Snoring Questionnaire (rtf)