New Patient Form

For your convenience, we have multiple ways to help us get acquainted with you.

1. Click on the button below to fill out your form online. Once the form is completed you can submit it securely online!

Online New Patient Form

2. If you would like to fill the form out and then print it and bring it with you, please click on this button:

Download New Patient Form

3. Fill out the form at our office (do nothing now).

New Patient Welcome Exam & Cleaning $142

Includes evaluation of growth and development, fluoride treatment, home care instructions, orthodontic screening, plus toys and games to make the visit educational and FUN! Good for new patients only age 12 and under. Cannot be combined with other offers.

Our office specializes in treating children from infants to teens. Our team includes pediatric and orthodontic specialists. We even have a separate area specifically for teens. Stop by our office to learn more.