Patient Forms

New Patient Registration  -  REQUIRED

Health History  -  REQUIRED

Authorization to File Insurance Claims  -  REQUIRED if you want us to file your insurance claims for you

Notice of Privacy Practices  -  FOR YOUR INFORMATION ONLY - DO NOT RETURN THIS FORM

Acknowledgement of Receipt of Notice of Privacy Practices  -  REQUIRED

Authorization to Transfer Your Records FROM This Office TO Dr. Oliver or Someone Else  -  REQUIRED ONLY when you want us to send your records to another dental office or someone else - this form MUST be used as verbal requests to send records are not acceptable