New
patient forms are in PDF format. Click on the link to download the forms.
Then print the forms, fill them out, and bring them with you on your first
visit.
If you do not have Acrobat Reader, get a free copy by clicking on the link below.
Patient
Registration and Health History
Standard
Financial Options and Standard Fees Agreement
Also, after reading our Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.
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© Copyright 2001- Dental WebSmith, Inc. and Millhopper Family Dentistry. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.
