For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:
Patient Records Transfer Request
If you would like your previous office or general dentist to provide any information regarding your treatment or X-rays, please print and complete the following form and provide it to their facility.
These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.