Please elect from the following options on filling out and delivering us the forms
1. Print and fill them by pen.
2. The PDFs are type-able or fillable on any computer or PDF application on smartphones. You can then print for signing or use an application for electronic-signing like Adobe or Signnow.
You can also use pdffiller.com which allows filling and signing online.
Delivery Options:
1. Hand delivery to your dental office.
2. By email if you consent to this type of delivery.
Scanning of any printed form can be done using your smartphone to make a PDF and email or fax them to your dentist’s office. JPEGs or Pictures will not be accepted.
We recommend using a scanner application like TurboScan or similar from the App Store for iPhone devices or Google Play Store for android phones. All Paperwork can be scanned in in a matter of a minute or two in one PDF.
Please watch a video on how to do this on youtube by clicking this link:
Pediatrics Forms ( Up to 15 years of age)
You will need to print out the first 2 forms and send them back to us. For best arrangement of things at least 2 weeks before the procedure to allow us to review your medical history and make recommendations if necessary. Please use the Insurance Guidance PDF below to contact your insurance ahead of time.
Pediatric Pre-anesthesia Medical Questionnaire
Pediatric Financial Agreement Form
Adults Forms
You will need to print out the first 2 forms and send them back to us. For best arrangement of things at least 2 weeks before the procedure to allow us to review your medical history and make recommendations if necessary. Please use the Insurance Guidance PDF below to contact your insurance ahead of time.
Adult Pre-anesthesia Medical Questionnaire
You may Review the Anesthesia Consent form now but we will sign and review it on the day of the procedure:
For Dental Offices:
Medical Clearance or Consultation Form
Medically Necessary General Anesthesia Form (Pediatric Patients Only)