FORMS
Once an
appointment is made, all patients please download the health
history form, This
will need to be completed and faxed 301-530-8572, mailed, or brought to
your first visit. It is extremely important to fully complete these
forms including the mailing addresses of your doctors and dentists.
TMJ/facial pain patients, please download the TMJ/Facial Pain Consent and Privacy Practices Form. This will need to be completed and faxed to 301-530-8572, mailed, or brought to your first visit.
Sleep patients, please download the Sleep Consent and Privacy Practices Form. This will need to be completed and faxed to 301-530-8572, mailed, or brought to your first visit.
We request that all patients can either download or just read our NOTICE OF PRIVACY PRACTICES. At the end of our consent form, we ask you to sign where indicated that you acknowledge having been given the opportunity to review it.
FORMS
Health
History Form > Click to
download
TMJ/Facial Pain
Consent Form > Click
to download
Sleep Consent Form > Click to download
Notice of Privacy Practices > Click to download
All forms require Adobe Reader to print. Most computers already have this program installed, but if yours does not Adobe Reader is a free download available at http://get.adobe.com/reader/.