Dental Professionals

New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files for your convenience. Of course, you can always come by the office and fill them out like everyone else, but then, you wouldn't be looking at this page right now if you were like everyone else.

Adult Forms (NP form, all HIPAA forms) Epworth Sleepiness Scale (Please bring this with you as well) Child Forms (NP form, all HIPAA forms) Cosmetic Chief Complaint (if you have any cosmetic concerns) Snoring and Sleep Apnea Forms (Use these in lieu of Adult Forms if you are seeing Dr. Smith for sleep-related issues)

Download Adobe Acrobat Reader Now