Please download, read and sign the following forms and bring them with you for your first exam.  You will need Adobe Reader to view these documents online.  It is a free program and you can download it here.

Regular Exam

Registration Form
Health Evaluation Questionnaire
Oral Screening Consent Form (18 and over)
Patient Financial Responsibility Agreement
Practice Policies
Statement of Privacy Practices
Acknowledgement of Receipt of Privacy Practices

TMJ Exam

Registration Form
TMJ Health Evaluation Questionnaire
Oral Screening Consent Form (18 and over)
Patient Financial Responsibility Agreement
Practice Policies
Statement of Privacy Practices
Acknowledgement of Receipt of Privacy Practices