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Patient Forms 

 

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms (Print & Complete All Forms Prior To First Office Visit) 

Infant Patient -Lip - Tongue Tie Medical & Consent Forms

Children Medical Consent Forms - (Age 1-13)

Adult Medical and Consent Forms

Consent Forms

Adult - Consent for release of Tongue Tie

LANAP Laser Gum Therapy

Conscious Sedation

 Lip and Tongue Tie After Care Instructions

Lip Tie Tongue Tie Infant Post Op

Tongue Tie Post Op for Adults

Patient-Dentist Contract

Public Domain Disclosure and Anti-Defamation

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.