Click the links below to download print-friendly copies of these important forms. Please fill out and sign them. Then bring them with you to the office for your appointment. Thanks!

• New Patient Information (Page 1)
• Dental History (Page 2)
• Fee Quote and Consent
• Financial Guidelines
• Grounds for Dismissal
• HIPAA
• Informed Consent
• Patient Consent to Share Protected Health Information
• Your Rights with Respect to This Consent

Have a question about one of these forms? Need help? Call 317-731-5203 or visit our contact page to get in touch.