Dental Care by Design - New Patient Forms

Your First Visit

What should I expect?

Information for new patients.

Request an appointment online.

Accepted payment options.

We are happy you have decided to become a patient and we are looking forward to seeing you! In order for you to have a quicker, more enjoyable visit to the dentist, please print and fill out the four forms below. Adobe Acrobat is required to view the forms. Please click here if your computer does not have Adobe Acrobat.

Please fill out the following:

Confidential Medical History Form

Confidential Patient Information Form

Office Privacy Policy Acknowledgment Form

Office Payment and Cancellation Policies

Send us your saved files:

Select file:

Under what patient name should we file this form?

Please make sure you save any changes you've made before continuing.