For your convenience, we have made our new patient forms available to you online via a secure, encrypted connection. These forms are in compliance with the latest HIPAA privacy standards.

New Patient Forms

If you’re new to our office, we want to know how we can best serve you! Just a few short questions can give us tremendous insight into what we can do to make you feel welcome and comfortable in our dental family. For new patients, a comprehensive survey of your dental and medical history, as well as any medications or allergies you may have, allow us to provide the most comprehensive care possible. To begin care quickly, we will need your contact and insurance information, as well as your consent for treatment and photo releases, available in this form.

Please remember to complete these forms 48 hours prior to your first appointment. If you have any problems filling out these forms, please call our Anchorage dental office for further assistance.

For a full description of how we use patient information, please view our:

Notice of Privacy Practices