Patient Forms :
Patient Forms Delivery Options:
1. Hand delivery to your dental office.
2. By email if you consent to this type of delivery.
Scanning of any printed form can be done using your smartphone to make a PDF and email or fax them to your dentist’s office. JPEGs or Pictures will not be accepted.
We recommend using a scanner application like TurboScan or similar from the App Store for iPhone devices or Google Play Store for android phones. All Paperwork can be scanned in in a matter of a minute or two in one PDF.
Please watch a video on how to do this on youtube by clicking this link:
Forms - Initial Forms for the Patients
You will need to print out the first 3 forms and send them back to us. For best arrangement of things at least 2 weeks before the procedure to allow us to review your medical history and make recommendations if necessary.
Pre-anesthesia Medical Questionnaire
(A complete History & Physical done by the patients PCP is also acceptable if done within the last 30 days)
Pre-anesthesia Instructions (& Post-anesthesia Instructions)
To be signed on the day of the Procedure
( Except in special needs patients with a Power of Attorney it may be done up to one month ahead of time )
For Dental Office