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Patient Forms

Call 205-633-1900
If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Patient Form

HIPPA Acknowledgement

Patient Update Form


We combine experience with the latest in dental technology to deliver the best patient experience possible.