For your convenience when visiting our office, please fill out the forms in the links below completely prior to your appointment with us.
English
New Patient Form
HIPAA Form
Financial Guidelines
Maryland Healthy Smiles Appointment Policy Form
COVID-19: Treatment Consent Form
Protected Health Information – PHI Form (Spanish Form Coming Soon!)
Spanish
New Patient Form
HIPAA
Financial Guidelines
Maryland Healthy Smiles Appointment Policy Form
COVID-19 Consent Form
A parent or guardian is required to fill out the new patient/welcome forms in their entirety prior to the first visit.
