Forms

  • Broken Appointments
The appointment you make with our doctor and dental team are reservations and are considered commitments to your dental health and our business relationship with you. Failed appointment is a disappointment to everyone, including you, our doctor, our dental team and other patients in need of dental treatment.
 
We expect 48-hour notice for cancellations. A broken appointment fee of $50.00 will be assessed to your

Medical History Patient Registration Form