Patient Forms ONLINE SUBMISSION or print Español

Call (702) 258-0085

  < Click this link to complete paper work

Click on above portal and Save paper answer questions online and your information will be submitted directly to our office  Thank you

New patients or patients who need to update paperwork, please print out pages 1 - 5 (they can be printed front and back), fill out and bring to your appointment.

New Patient Paperwork (or Update) 
Nuevo Paciente Informacion (En Espanol)

For patient who have a TMJ consultation scheduled, please fill out the following pages also (they can be printed front and back).
TMJ Information Sheet Page 1
TMJ Information Sheet Page 2
Other Forms:
Medicare Patients
Translator Sheet
Release of Records

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Combining Function And Beauty

Our team provides the specialized care you need to radiate confidence with a healthy smile.



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