Serving the Tri-Cities, TN area with quality dentistry.
Call us for an appointment today!

(423) 434-2421

Patient Forms

Downloadable Patient Forms

Save time by downloading and filling out the patient forms listed below. These will also help our staff to file your information quickly.

Form Name Type Size
Dental Treatment Consent Form PDF 41KB
Office Payment Policy PDF 54KB
Patient Information PDF 1.14MB
Health History PDF 1.29MB
Notice of Privacy Policy PDF 897KB
Patient Acknowledgements PDF 563KB

patient forms johnson city tn dentist