New Patient Forms

New Patient Registration

New Patient Health History

New Patient Financial Policy

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Practices

If you prefer to complete these forms at the time of your dental appointment, please let us know so that we can adjust the arrival time of your reserved appointment.

Reach us at: (706) 245-5031

If it’s easier, email us at:

Knowing your health history is an important step as many oral conditions affect major organs and the oral cavity can also offer information to catch disease processes early.

To save you time in the office, you may enjoy completing the New Patient Health History and Registration/Privacy Information prior to your appointment.

Just download, print, and complete. You can drop the information by or bring the completed forms to your first visit.