This registration package consist in all the information that you will provide us in order to properly treat your dental needs. It includes HIPAA information and forms, patient registration form, medical information form, and photography authorization form. Please print, fill out and bring it with you to our office in order to expedite your first visit.

HIPAA Information Package

This package includes all the information about the "privacy rule" issued by the US Department of Health and Human Services. This has to do with the use and disclosure of the patients health information in a proper and protected way, only to provide you as a patient with high quality dental care and protect your health and well being. 

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Patient Registration Form

This is the form were you as a patient will provide us with your contact and insurance information necessary for us to attend you with the good service you deserve.   

 

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Medical History Form

The medical history form helps us provide you with dental care appropriately according to your medical information. 

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Photography Authorization Form

This form will authorize us to take any pictures that may be necessary to assist us in providing you with the best dental care.

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