The following Patient Forms can be printed from you computer and filled out at your leisure before your first appointment.

Please bring a Patient Registration Form, Medical History Form, and HIPAA From for each patient.

PATIENT REGISTRATION FORM.pdf

MEDICAL HISTORY FORM.pdf

HIPAA FORM.pdf

NOTICE OF PRIVACY PRACTICES Oakside.pdf 

 

If you have records at another dentist, please fill out and send the Patent Record Request Form to them so that we will have that information at your first appointment.

PATIENT RECORD REQUEST FORM.pdf

 

If you have any questions, please do not hesitate to call us at:

(906) 863-6381

 

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.