Patient Forms

For your convenience, you may download, print and fill out any of the following forms and bring them to your next appointment:

• Patient Forms
• Taste
• Informed Consent for the Treatment of Sleep-Disordered Breathing
• Informed Consent for CMD, TMJ & MPD Disorders
• Informed Consent for oral surgical treatment in patients who have received oral bisphosphonate drugs
• Informed Consent for periodontal root planing and scaling
• Informed Consent for Coronoplasty (also known as Occlusal Equilibration/Bite Adjustment)
• Informed consent for nitrous oxide sedation
• Informed Consent for Sealants
• Informed Consent for Amalgam (Silver Filling) Replacement
• Agreement for Use of Medication in Pain Management
• Informed Consent for Root Canal Treatment
• Informed Consent for Composite Fillings
• Informed Consent for Crown and Bridge Prosthetics
• Informed Consent for Dental Implants
• Informed Consent for Dentures (Treatment Consultation Stage)
• Informed Consent for Oral Surgery and Dental Extraction
• Informed Consent for Cosmetic Treatment (including Bleaching, Whitening, Bonding and Veneer)
• Consent for IV, IM, Oral Sedation/Local Anesthesia
• Consent for Orthodontic Treatment