Patient Forms

 
205-221-6700

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Print & Complete All Forms Prior To First Office Visit

Adult New Patient Forms

Child/Teen New Patient Forms

Informational Handouts (No printing necessary)

Office Information

Infection Control

Periodontal Screening

Privacy Policy


 This web site uses files in Adobe Acrobat Portable Document Format 
 (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.

Testimonials
ACCESSIBILITY