Patient Forms

For your convenience, you can:

  1. Download our patient forms on the right.
  2. Fill them out on your computer.
  3. Print them out.
  4. Bring into your visit to our office.

Downloadable PDFs

If you have questions or need information about these formats, please contact us.


ALL forms:


New Patient Form Package

Individual forms:

pdf-iconOur Policies / Consent for Treatment

pdf-iconPatient Information

pdf-iconDental Insurance / Financial Agreement

pdf-iconHIPAA Patient Acknowledgement

pdf-iconWainright & Wassel HIPAA Compliance Information