Intake Forms

Please complete the forms that apply to you and either save and email them to us, or print them and bring them on your next visit.

How to save the forms:

How to print the forms:

If you wish to print a form, fill out the form and then click the icon in the upper right corner of the window to print. Please note, your information will not be saved on your computer however. You must click the save button as explained above, before attempting to download the file, or before leaving the page. Otherwise, your information will not be saved.

Forms:

Adult History
Child History
TMJ History
Transfer Patient History
Privacy Consent