Patient Forms

Call (918) 369-3990

If you are a new patient to our office, the attached files contain our new patient forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to you more quickly than completing them upon your arrival. Thank you and please call our office at (918) 369-3990 should you have any questions at all.

Please print the top 4:

1. New Patient Registration

2. Health History

3. HIPAA and Consent

4. Financial Agreement

Care Credit Application 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.



Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


We combine experience with the latest in dental technology to deliver the best patient experience possible.



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