New Patient Forms
To help us with your chart, please download and print these PDF forms, fill them out in blue ink and bring them to your first appointment.
These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.
Special Offers
New Patient
Special
Includes comprehensive oral exam, oral cancer screening, Periodontal evaluation, and Cleaning and bite wing x-rays for $99 (regularly $266)
GOOD FOR EVERY MEMBER OF YOUR FAMILY Must present coupon at time of appointment. New patients only. Offer not valid with insurance submission. Payment is due at time of appointment. Offer valid in the absence of gum disease.
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Or
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Free Whitening for Life
for New Patients
Receive custom in-home bleaching trays (a $360 value) and free touch up gel every six months with regular recare visit
GOOD FOR EVERY MEMBER OF YOUR FAMILY Must present coupon at time of appointment. New patients only. Offer not valid with insurance submission. Payment is due at time of appointment. Offer valid in the absence of gum disease.
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**Offers may not be combined**
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