Title Group
New patient packet includes:
Content Group
Medical and Personal History
Guardian Agreement
Consent for Endodontic Treatment
Nitrous Oxide/Oxygen Inhalation Sedation Patient Consent Form
HIPPA Privacy Act
Please print and complete forms before your appointment and bring to the appointment.
Additional
Information for Patients
All minor patients (under the age of 18) must be accompanied by a parent or legal guardian for all appointments and must remain with the patient until treatment is completed.
Be sure to bring your proper photo ID and Medicaid/CHIP/insurance card.
