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Just for parents

 

Patient Forms

For your convenience, we offer secure, HIPAA-compliant, electronic patient forms which can be filled out on any computer, tablet or phone. 

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New Patient Packet

If you and your child(ren) are new to our practice and have an upcoming appointment, please fill out our New Patient Packet. This packet includes: the Patient Information form, Medical/Dental History form, HIPAA Notice of Privacy Practices, our Financial & Appointment Policies and a Covid-19 Pre-screening Questionnaire.

Existing Patient Forms

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Apply for CareCredit

We are pleased to offer CareCredit financing to help make treatment more affordable. This flexible payment option allows you to pay for your child's treatment over a period of time so you can focus on what matters most – keeping their smile healthy. 

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