Forms

Forms For Your Dental Visit in Henderson & Las Vegas, NV

For your convenience, our patient forms are located on this page.

You have two options for forms:  PRINT or FILL OUT ONLINE.   Our online forms are quick, easy to fill out and can be done at your convenience. 

Here is the link to our ONLINE FORMS:   Patient Forms

Below are our PRINTABLE forms:

FORMS FOR NEW PATIENTS:

New Patient Adult Registration and Health
New Patient Practice Policy
New Patient HIPAA
New Patient Child
Medication List

Please call, text or email a copy of your insurance card to us so that we may verify your insurance before your appointment.  Our insurance coordinator can be reached at [email protected]. 

FORMS FOR CURRENT PATIENTS:
Current Patient Update

If your insurance has changed, please call, text or email a copy of your insurance card to us so that we may verify your insurance before your appointment.  Our insurance coordinator can be reached at [email protected]. 

If you choose to fill out forms at our office arrive 20 minutes before your scheduled appointment time to complete our forms.

Please remember to bring your photo ID and insurance card (if you have one) with you.