Please complete all forms prior to your appointment. You can submit the forms online by clicking the 'Submit' button at the end of each or print and bring them to your appointment.
2 pages. Required for new patients.
4 pages. Required for new patients.
1 page. Required for new patients.
Need financing? Help is here from our partners at Cherry Financing and CareCredit. We also offer a dental savings plan that may be a good fit for you and your family.
Split big costs into smaller monthly payments with Cherry. Let your money go further and take better control of your cash flow when you pay in installments with Cherry.
CareCredit offers a credit card to pay for your health, wellness and personal care needs. Prequalify and calculate your monthly payments below.
BayRidge Dental Savings Plan
Our BayRidge Dental Savings Plan is designed to provide individuals and families without dental coverage access to quality and affordable dental care. Child and adult plans now available.