Patient Forms

For your convenience, we have provided several of our common consent forms and patient instructions for download.

The following documents are available as printable PDF files using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, download a free copy now from Adobe by clicking here.

New Patient Forms

• New Patient Forms Pack
• Patient Registration Form (Included in the New Patient Forms Pack)

Privacy Practices

• Complete Notice of Privacy Practices
• Summary of Notice of Privacy Practices
• Acknowledgment of Privacy Practices

Patient Consent Forms

• Consent for Crown Lengthening Surgery
• Consent for Connective Tissue Graft (gum graft) Surgery
• Consent for Dental surgery
• Consent for Extraction
• Consent for Gingival Graft (gum graft) Surgery
• Consent for Dental Implant Surgery
• Consent for Periodontal Osseous Surgery
• Consent for Extraction / Socket Preservation
• Consent for Periodontal Surgery with Bone Regeneration Procedures
• Consent for Ridge Augmentation Surgery
• Informed Consent Relating to Risks Associated with Oral Bisphosphonate Use
• Consent for Platelet Rich Fibrin
• Consent for Platelet Rich Plasma (PRP)
• Consent for Sinus Augmentation Bone Regenerative Surgery

Pre-Operative Instructions

• Pre-Surgical Instructions for Oral Surgery

Post-Operative Instructions

• Post-Operative Instructions
• Post-Operative Instructions for Connective Tissue Gum Graft
• Post-Operative Instructions for Gum Graft
• Post-Operative Instructions for Implant Surgery
• Post-Operative Instructions for Periodontal Surgery / Osseous Surgery
• Post-Operative Instructions for Extraction/Bone Grafting and Membrane Placement
• Post-Operative Instructions for Restorative Crown Lengthening
• Post-Operative Instructions for Sinus Augmentation Bone Graft Surgery
• Post-Operative Instructions for Ridge Augmentation Bone Graft Surgery
  

Anxiolysis Medications

• Instructions for taking Triazolam (Halcion®)
• Consent for Anxiolysis
• Instructions for taking Lorazepam (Ativan®)

Intravenous (IV) Sedation

• Consent and Instructions for IV Sedation

Our Financial Policy

• Our Financial Policy