Highland Family Dentistry

Patient Forms

New Patient Packet

Please print & fill out all (3) 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. Please print out a copy for your records.

CareCredit Application

Healthcare financing for you and your family.

Patient Reviews

We'll be undergoing some in-office renovations from October 4-October 22, and our office will reopen on October 25.

If you’re experiencing a dental emergency during this time, please call our office with the number below and you will be routed to one of our professionals. We look forward to seeing everyone when we reopen on October 25th!