Patient Information
New Patient Forms
If you are new to our office, we would appreciate it if you could print out and fill in the following forms. Please be sure to bring them with you on your first visit to the office.
The forms are in Adobe Acrobat format. You will need the Free Adobe Reader to open and print these forms.
- Medical History Form (22kb .pdf) password domino
- Temporomandibular Joint History (46kb .pdf)
Patient Information Packet
This information is for new patients and existing patients and can be printed for reference. All documents are stored in .pdf form and will require Adobe Reader to view and print. See instruction above for how to obtain if you do not have the software.
- Treatment Flow (29kb .pdf)
- Oral Appliance Therapy Sequential Flow Diagram (36kb .pdf)
- Narrative of Treatment Sequence (23kb .pdf)
- Insurance Documentation Suggestions for Oral Appliance Therapy (33kb .pdf)
- Oral Appliance Therapy Insurance Tips (111kb .pdf)
- Practice Parameters 2005 (223kb .pdf)
- Frequently Asked Questions