Patient Forms

Please correct the errors described below.

1. Patient Information

City, State, Zip

2. Phone Numbers

IN CASE OF EMERGENCY CONTACT (Specify someone who does not live in your household.)

3. Dental Insurance

4. Assignment and Release

I certify that I (or my dependent) have insurance coverage as indicated and assign directly to this office all insurance benefits otherwise payable to me for services rendered. I understand that I am financially responsible for all charges whether or not paid by Insurance. I authorize the doctor to release all information necessary to secure the payment of benefits. I authorize the use of this signature on all insurance submissions.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

In order to ensure your maximum oral health and allow us to prescribe the proper medications, it is very important that we know all medical and dental information about you. Please check every box on this form, even if the answer is "N/A" (not applicable). This information will be kept in the strictest confidence.

You also should know that changes in other parts of your body may affect the oral cavity and what dental treatment can be done, even if they seem unconnected. Cardiac (heart) problems, artificial joints and diabetes are just some examples.

Thank You

1. Dental History

Mark "Yes" or "No" to indicate if you presently or previously had any of the following.

Have you experienced:

2. Medical History

For Women

Do you have or have you ever had any of the following diseases or medical problems?

Are you allergic to any of the following?

3. Certification

I certify that the answers given are correct to the best of my knowledge.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

Your information will be encrypted.

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