New Patient Forms

Includes Patient Registration, Medical History, HIPAA (Privacy), and Root Canal Treatment Consent forms.

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Consent for Endodontic Surgery

Forms necessary if you are having tooth root surgery treatment.

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Consent for Biopsy Procedure

Form necessary if we will be taking a sample of tissue for biopsy during endodontic surgery.

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Post-Op Instructions

Information and instructions for home care after surgery.

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Consent for Nitrous Oxide

Form necessary if you are choosing to have "laughing gas" during your treatment to make you less anxious.

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Consent for Conscious Sedation

Form necessary if you are choosing to come to the office and take anti-anxiety medication before treatment to make you less anxious.

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Referral Card

Instructions and information form for patients and referring dentists.

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Covid-19 Forms

Covid-19 Acknowledgement of Risk Form and Patient Disclosures Form

Open Form 1

open form 2