New Patients

New Patient Forms

Please print and fill out the desired form, then bring it to your first appointment.

Child - New Patient

This form is required for all new child patients. We will need you to fill out the HIPPA form listed below as well.

Download

 

Adult - New Patient

This form is required for all new adult patients. We will need you to fill out the HIPPA form listed below as well.

Download

 

HIPPA

This form is required for all new patients. We also will need you to fill out the age-appropriate new patient form above.

Download

 
Nick

My teeth were very crooked at first. Dr. Allen has straightened them out a lot so far.

- Nick

Adult Patients

Win Free Stuff!

Find out how you can win great prizes such as concert tickets and more!

Learn More