Time-Saving Patient Forms

Save time (and your printer ink) by completing these new-patient forms and submitting them electronically to our office. It’s easy and 100% HIPAA compliant and secure.

  1. Click the forms packet link seen below

  2. Fill out each form and click the “submit” button. When you click “submit” the next form automatically displays for you to fill out.

And you are done!

Questions? Call us at (651) 636-0655 or e-mail us today.

New Patient Forms Packet 

Includes: Dental Health History Form (1 page), Insurance Form (1 Page), Written Financial Policy (1 Page), Consent for Use and Disclosure of Health Information (1 Page)

Q: Am I required to do this ahead of time?
A: Nope! You can always complete these short forms in-person when you arrive for your first appointment. However, completing them ahead of time means less waiting time in the office before your appointment,  and allows you to complete the forms in the privacy of your home.

Office Hours

Monday7:00 AM — 5:00 PM
Tuesday6:30 AM — 6:30 PM
Wednesday6:30 AM — 6:30 PM
Thursday6:30 AM — 6:30 PM
Friday6:30 AM — 4:00 PM
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