FORMS
New Patient Forms
Includes Patient Registration, Medical History, HIPAA (Privacy), and Root Canal Treatment Consent forms.
Consent for Endodontic Surgery
Forms necessary if you are having tooth root surgery treatment.
Consent for Biopsy Procedure
Form necessary if we will be taking a sample of tissue for biopsy during endodontic surgery.
Post-Op Instructions
Information and instructions for home care after surgery.
Consent for Nitrous Oxide
Form necessary if you are choosing to have "laughing gas" during your treatment to make you less anxious.
Consent for Conscious Sedation
Form necessary if you are choosing to come to the office and take anti-anxiety medication before treatment to make you less anxious.
Referral Card
Instructions and information form for patients and referring dentists.
Covid-19 Forms
Covid-19 Acknowledgement of Risk Form and Patient Disclosures Form