As a current patient, there will be some forms to complete yearly and others that you may fill out during the course of your care:
- Registration & UDS Information (English)
- Registration & UDS Information (Spanish)
- Notice of Privacy Practices (English)
- Notice of Privacy Practices (Spanish)
- Release of Information (English)
- Release of Information (Spanish)
- Consent for Child if Parent/Guardian Is Absent (English)
- Consent for Child if Parent/Guardian Is Absent (Spanish)
- Dental Health History – Dental Patients Only (English)
- Dental Health History – Dental Patients Only (Spanish)
- Financial Assistance Form (English)
- Financial Assistance Form (Spanish)