Printable Forms

For your use and convenience we have provided printable forms so you may review and/or complete them at your leisure prior to surgery. If you prefer the forms can be completed at the office but please arrive 15 minutes prior to your appointment. If at any time you have questions regarding your appointment please call the office.

  • HEALTH HISTORY: Please print, complete and bring the health history form with you to your appointment. (PDF file)
  • SURGICAL CONSENT: The surgical consent form may also be printed and brought with you to the office. It will be necessary for you to read and understand the surgical consent form. We will review the surgical consent form with you just prior to surgery. The patient or legal guardian’s signature will be required on this form. Please do not sign the surgical consent form until it has been reviewed with you on the day of surgery. (PDF file)
  • HIPPA: Please review this form. It is not necessary to print this form. The U.S. Government requires that all medical/dental providers advise patients of the office’s policy regarding protected health information. (PDF file)