To save you time, download and complete the appropriate forms, then send or bring them to the office PRIOR to your first visit.
- HIPAA Privacy Notice Form
- Notice of Privacy Practices
- VELscope Oral Cancer Screening Form
- Optimal Oral Health Savings Plan
To view and print this form, you will need the Adobe Acrobat Reader. Don’t have it? You can download it FREE by clicking here.
To ensure your privacy and the security of your personal information, we do not recommend you send sensitive medical information via the internet (through email or via electronic registration forms).