New Patient Forms

We understand that your time is as valuable as ours. For your convenience, below are links for you to download and review/complete our new patient paperwork in the comfort of your own home.

Simply fill them out in advance, and bring the completed form with you to your first appointment. OR fill them out and email them to info@patelewisdentistry.com

Medical History Form [PDF]
Patient Registration [PDF]
Consent to Treat [PDF]
HIPAA Information [PDF]
HIPAA Acknowledgement [PDF]

Please Note: To view these files you will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

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