New Patient Information

Spend Less Time in Waiting Room

Book AppoinmentNew Patient Offers

You can save time during your first appointment by printing out and completing the following PDF forms ahead of time.

Download Patient Forms:

  1. Acknowledgment of receipt of notice of privacy policy Form
  2. Dental History Form
  3. Dental Treatment Consent Form
  4. Financial Policy Form
  5. Patient Registration
  6. HIPPA Acknowledgment
  7. Medical History 1
  8. Medical History 2
  9. Office Policies
  10. Primary Dental Insurance

And just a reminder – “In order to comply with federal regulations and protect patient confidentiality, no electronic devices will be permitted in the clinical areas.”

Perfect your smile with us today!

Book AppoinmentNew Patient Offers

Copyright © My Dental Remedies 2019. All rights reserved. Privacy Policy