Dental Surgeons and Associates

Dental Surgeons and Associates

New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.


New Patient Forms - Adult

Please download, print and complete this form before your first dental appointment.
Click here to download (220 KB)


New Patient Forms - Child

Please download, print and complete this form before your child's first dental appointment.
Click here to download (201 KB)


Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Click here to download (49 KB)


 
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