Patient Forms
To make your visit to our office as efficient as possible, we have listed some forms that you may need during your visit. All the forms are also available in our office if you prefer to fill them out in person. If filling out the forms in person, please arrive 20-30 minutes prior to your appointment to give yourself ample time to fill out all the necessary information as the forms are comprehensive. If you have any questions or concerns, don't hesitate to contact us.

HIPAA Privacy Practices Document (70k PDF)

Patient Registration Form (70k) For patients who prefer not to or are unable to use our online registration form.

Assignment of Benefits – Insured Patients (53k PDF)

Office Policies Document (41k PDF)

Email Authorization Form (31k PDF)

Oxygen/Ozone Consent Document (45k PDF)

Amalgam Removal Document (45k PDF)

Harmony S.M.A.R.T. Amalgam Removal Protocols (61k PDF)