accessibility ACCESSIBILITY

New Patient Forms

If you are a new patient to our Snellville dental office, the first forms link below (Registration and HIPAA Privacy Act Forms) will need to be filled out when you arrive for your first appointment at our dental office. Printing the form at home, filling it out and bringing it with you will allow us to attend to your dental needs more quickly than completing the form on your arrival.  Thank you and please call our Snellville, GA dental office @ 770-736-5545 if you have any questions or need any assistance. 

New Patient Registration Forms - Health History Form, Updated HIPAA Privacy Forms, and Dental Insurance Coverage Policy Forms

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.