Dental Forms

Patient Forms

If you're looking to schedule an appointment, please click here or call us at (816) 363-1020.

Forms to Print and Complete

If you've already scheduled an appointment and are a first-time patient, please complete the following health history form and new patient form before your visit:

Additionally, please read HIPAA Notice of Privacy Practices.

After you have read the HIPAA document, please sign this form: HIPAA Privacy Acknowledgement and bring it with you to your appointment.

If you need contact information or directions, please visit our contact page.

Thank you for your interest in our dentistry, we hope to hear from you soon!