Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

ENGLISH

• Patient Form (Child) PDF | DOC
• Patient Form (Adult) PDF | DOC
• Adult History Form PDF
• Child History Form PDF
• Informed Consent PDF
• Request for Release of Records PDF | DOC
• Insurance Agreement DOC
• Notice of Privacy HIPAA DOC
• Debond Form DOC
• Photo Contest Form DOC
• Terms and Conditions DOC

SPANISH

• Adult History Form PDF
• Child History Form PDF
• Informed Consent PDF

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