Patient Forms for Your Dental Visit
Making your visit smooth and stress-free starts with completing your patient forms in advance. To save time at your appointment, we offer two convenient options:
- Fill Out Online – Quick, secure, and can be completed from any device.
- Print & Complete at Home – Download, fill out, and bring with you.
Complete Your Forms Online
For the fastest check-in, fill out your forms online at your convenience:
Download & Print Forms
If you prefer to fill out your forms by hand, please download and print the necessary forms below.
New Patient Forms
(For first-time visitors)
📄 New Patient Adult Registration & Health Form
📄 New Patient Practice Policy
📄 New Patient HIPAA Consent
📄 New Patient Child Registration
📄 Medication List
Current Patient Forms
Insurance Information
To ensure a smooth check-in, please send a copy of your insurance card before your appointment.
📧 Email: [email protected]
📞 Call or Text: (702) 919-6206
🔹 If your insurance has changed, please notify us in advance to avoid delays.
Filling Out Forms In-Office?
If you choose to complete your forms at our office, please arrive 20 minutes early to allow time for completion.
🔹 Remember to bring:
✅ A valid photo ID
✅ Your insurance card (if applicable)