Forms for Our Patients

We look forward to meeting and welcoming you to our Dental family.

Please print and complete prior to your appointment.

New Patient Information Form

History Form

Notice of Privacy Practice 1

Notice of Privacy Practice 2

Notice of Privacy Practices-Patient Acknowledgement

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By providing my phone number, I consent to receive SMS text messages from Focal Point Dentistry for appointment reminders, marketing messages, and general two-way communication. Msg frequency varies. Msg & data rates may apply. Reply HELP for support. Reply STOP to opt out. Consumer information is not shared with third parties for marketing purposes.

By providing my phone number, I consent to receive SMS text messages from Focal Point Dentistry for appointment reminders, marketing messages, and general two-way communication. Msg frequency varies. Msg and data rates may apply. Reply HELP for support. Reply STOP to opt out.

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