Smiling teenage boy with braces.

The following New Patient Forms will assist us with your care. Please print and complete both forms, then fax them to us at (816) 420-8416BsAt4ube4GblQIAAAAASUVORK5CYII=, or you can scan and e-mail them to before the date of your first visit. (The Notice of Privacy Practices is for your records.)


*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.