For your convenience, please click on the link below and print out the health record attached. Please fill this out in its entirety and bring with you at least 15 minutes prior to your scheduled appointment time. You will also be required to sign a release form, and a notice of receipt of our office HIPPA Privacy Practice. You may obtain o copy of our privacy practice with the link below. Both the release form and the acknowledgment form may be printed out as well, and brought with you at the time of your appointment. We also ask that you bring a photo ID, your dental insurance card, and a current list of medications with you.
If you may, or think you may, need premedication prior to your visit please notify the receptionist when making your appointment. Health factors that require premedication according to the American Heart Association, are artificial replacements of hips, knees and joints, artificial heart valves and endocarditis . If you are unsure if you will require premedication, please contact your physician prior to your appointment. If you take a blood thinner or medication for osteoporosis, it is important that we know this prior to your visit as well.