New Patient Form
If you are a new patient, please fill out this form prior to your arrival for a quicker check-in time.
New Patient Form Download
Military Dental Form
For our active duty/reserve forces, government service personnel (or related) needing a 12 month dental health assessment to determine your fitness for prolonged duty, please download this DOD form and fill out prior to your arrival.
Military Dental Form Download
Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact our Privacy Contact with our office, Raymond S. Vicente, DMD.
Notice of Privacy Practices
Root Canal Information
Information on the root canal procedure.
Root Canal Information