Patient Forms

  • New Patient Offer

    FREE* Teeth Whitening
    (Reg. $395)

    *Free with a paid exam, x-rays and cleaning at regular fees. MANY Insurance plans cover all or a large portion of your exam, x-rays & cleaning, so your ENTIRE visit may be FREE!

    Examination, X-Rays AND Cleaning
    $296.00 Value
    Only $147!!!

    Does not include periodontal gum disease treatment. Not to be combined with any other offers.

    Offer Expires 03/20/2019

    Take advantage of these offers by completing the form below:

  • Video testimonials from our dental patients
    Grandma Clark's
    Recipe of the Week

    For your convenience, we have supplied our New Patient forms online. If you wish, you can click on the online link below, fill-out the forms and the forms will be uploaded to our secure private form server.

    Or, if you prefer to print and complete the form at home, click below and bring the forms to your first visit!

    Post-Op Patient Instructions: