To expedite your initial appointment, kindly fill out the new patient form available online, print a copy, sign, and bring it with you to the office. None of the entered info will be saved on the web.

If you have difficulty filling out your information, come to the office and we will be happy to help you.

Your information can be directly entered into the form. Click on the new patient form tab, type in your information, and print.

If you are using Firefox browser, the PDF may not show up properly. In that case, simply download the file and then open it with Adobe.

If you prefer a handwritten form, simply print and fill out the form by hand.

The notice of privacy form is for your own information and does not need to be printed.

Download New Patient Form

Privacy Information

Contact Lakeview Dental