WELCOME TO THE FAMILY!

Thank you for choosing Silhavy Creek Family Dental. We are excited to be you and your family’s Dental office. Before your first dental visit we will need information about you. This information will help us provide you with the best possible service. We will ask you to fill out forms in our office before your first visit, OR if you wish to save time, we encourage you to print a copy of the forms below, read them over, complete them where necessary and bring them with you to your first appointment. This will eliminate the need of filling out paperwork in our office at the time of your visit.

Please print out one of each of the following:

PDF Icon Patient Registration Form

PDF Icon Insurance Estimate Consent

PDF Icon HIPAA Consent Form

PDF Icon Privacy Practices Acknowledgement

 

You will need to have Adobe Acrobat Reader installed on your computer to view some of these documents. You can download it free from the Adobe Web site.

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