Patient Forms


If you are visiting us for the first time, please download and complete these forms prior to your appointment. The forms should be viewed and completed using Adobe Reader, available below. *Google Chrome is not supported for new patient forms* If downloading the forms from Chrome, click the arrow to the right of the download, and click “always open in Adobe Reader.”

After filling out the forms below, please save them to your computer, and email the completed forms to

Click to download adobe reader

New Patient Forms

Existing Patients with Cleaning Appointments

Patients Coming For Treatment

Attention Parents: What About You?

Do you need an “adult” dentist for yourself? Please ask any of our staff for recommendations on the many excellent local dentists in the Warner Robins and Macon area.