New Patients

New Patient Forms

Please print and fill out the desired form, then bring it to your first appointment.

Child - New Patient

This form is required for all new child patients. We will need you to fill out the HIPAA form listed below as well.

Download

 

Adult - New Patient

This form is required for all new adult patients. We will need you to fill out the HIPAA form listed below as well.

Download

 

HIPAA

This form is required for all new patients. We also will need you to fill out the age-appropriate new patient form above.

Download

 
Jessica

Being confident is one of the hardest things to do, but withDr. Allen's help I can honestly say my smile is the one thing I am 100% confident about!

- Jessica

Adult Patients

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