A HIPAA form will be given to you in the office for your signature.  You will have the opportunity to preview our HIPAA Privacy Policy at that time.
​The Health History Form and the Financial Policy are downloadable.  Please print them and fill them out, prior to your first dental appointment here.  Thank you.
Health History Form
File Size: 805 kb
File Type: pdf
Download File
Financial Policy
File Size: 1603 kb
File Type: pdf
Download File

HIPAA signature form, download

​hipaa.dot

HIPAA Privacy Practices for the office for you to read only
​hipaapractice.pdf
Click the Button below for an interactive printable Health History form from the ADA.
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