10410 S. Eastern Ave, Suite #200
Henderson, NV 89052-4195
(702) 616-0777

New Patient Forms

photo of happy couple

Welcome to our practice.  We look forward to meeting you and having you as a patient.  Whether you're coming in as a new patient for a full dental examination, or just a consultation and second option, we'll need to get a little information about you.  We've included the forms below for your convenience. 

Here is a time saving tip:  Fill out your dental forms before you arrive at your appointment!   Easy!

  1. Click on the three forms below.
  2. Open and Print them on your home computer.
  3. Fill them out and sign them.
  4. Bring them with you to your appointment. 

 

These documents are  in Adobe PDF format. If you're unable to read PDF files, you can download Acrobat Reader free from Adobe.

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