Patient Forms

Patient Forms and Resources

Patient Resources

Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, please complete and sign the patient forms, HIPAA and COVID questionnaire and email back to the office directly at [email protected].

COVID-19 Patient Questionnaire

COVID-19 Patient Questionnaire

Please complete, sign and return to the office before your dental appointment

New Patient Forms

New Patient Forms

Please complete, sign and return to the office before your dental appointment

Notice of Privacy Practices

Notice of Privacy Practices

Please review Dr. James Peterson's Notice of Privacy Practices

*Individual results are not guaranteed and may vary from person to person. Images may contain models.