Your First Dental Visit

As a new patient, make sure to give yourself about 1 hour for your appointment.  This is so we can provide you with the utmost care and time to understand any concerns you may have.  To save some time, you can fill out your new patient paper work in advance online.  We accept insurance and provide a membership option for individuals who do not have insurance.

New Patient Form

Insurance Information

Are you the Primary Insured Member?

Medical Health History

Check al that apply
Are you allergic to, or have you reacted adversey to any of the following?
For Women
Do you smoke, vape, or use tobacco?

Thanks for submitting!