Patient Forms
Please print & fill out forms and bring with you to your first appointment. Please feel free to give the call with any questions or concerns.
Patient Registration
PATIENT REGISTRATION AND MEDICAL HISTORY
Medical History
Highland Family Dentistry MEDICAL HISTORY
HIPAA Privacy
HIPPA OMNIBUS RULE
HIPPA Packet
Attached is a copy of office Notice of Privacy Policy.
HIPAA NOTICE OF PRIVACY PRACTICES
OMNIBUS Rule
HIPAA Non-Discrimination Notice
for Medicaid & Medicare Use
CareCredit Application
Healthcare financing for you and your family.