Existing Patients:
A blank Medical History Update Form and a COVID-19 Consent Form are available for you to download and bring with you for your upcoming appointment. If your medical history is extensive and you would prefer for us to have your form auto-populated and ready for you to sign at your arrival, we are more than happy to do that for you. Forms are available to download here:
HIPAA consent (see below)
*A HIPAA update is only needed if: 1) the patient has turned 18 since the last visit, or 2) the patient would like to change who we are able to share their information with. Divorce, marriage, death in the family, etc, are examples of reasons someone may want to update their HIPAA Consent. Our Notice of Privacy Practices is available at the bottom of this page if you would like a refresher.
New Patients:
We are currently seeing new patients for EMERGENCIES ONLY. Emergencies are things such as a toothache, swelling, or a broken tooth which can not wait. We are not accepting new patients for routine visits at this time.
New Patient Paperwork and a COVID-19 Consent Form are available for you to download and bring with you for your first visit.
We have provided below our Notice of Privacy Practices for your review before signing the HIPAA page in your new patient paperwork. There is no need to print this out unless you would like it for your own records.
HIPAA Notice of Privacy Practices
Adult patients can expect a comprehensive set of x-rays and a thorough exam at their first visit. We do try to complete your cleaning during this same visit, unless additional hygiene services are needed. It is generally not necessary to bring your old x-rays or chart, unless you have extensive treatment that is in-progress. Children will generally receive age-appropriate x-rays, a cleaning, and a fluoride treatment.
