Patient Registration forms
- Medical History/Patient Registration (PDF)
- Consent for Treatment (PDF)
- HIPAA Notice of Privacy Practices (PDF)
- No Need to print HIPPA notice, just read and sign acknowledgement
- HIPAA Acknowledgement (PDF)
- COVID ADA Patient Screening Form (PDF)
- GentleWave Procedure Info (PDF)
Please complete these forms and bring to your appointment. You can also email your completed forms ahead of time to [email protected]