>>>>> NEW PATIENT REGISTRATION FORMS - Download
>>>>> FINANCIAL AGREEMENT Download
* All NEW PATIENTS, kindly fill out ALL NEW PATIENT FORMS and bring to your FIRST VISIT ~ Thank You!
* ALL CURRENT PATIENTS - NEW UPDATED HIPAA FORM, kindly fill out the New Updated Hipaa Form below and please bring with you to your next visit ~ Thank You!
>>>>> NEW UPDATED HIPAA for CURRENT PATIENTS - Patient Acknowledgement of Receipt of Notice of Privacy Practices and Consent - Download
>>>>> DENTAL HEALTH CERTIFICATE - NYS - (SCHOOL) Optional Download
The following Hipaa Form is ONLY for Referral of Health Information to be Released to another Provider or Specialist
>>>>> THIRD PARTY HIPAA RELEASE - Consent For Release of Medical Records/Use and Disclosure...To a Third Party - Download
Please Note: The complete OMNIBUS Rule HIPAA NOTICE OF PRIVACY PRACTICES is available under the OMNIBUS Rule Section under Insurance & Patient Forms Category