New Patient Forms

About New Patient Forms

Be Prepared For Your First Appointment With New Patient Forms

These forms are for New Patients, which can be completed prior or upon arrival to our Chattanooga, TN office to save you time. If you have any questions please feel free to call the office, our number is 423-899-1112.

Patient Registration and HIPAA Consent

HIPAA consent form

HIPAA consent form

Click Here To Download

Patient Medical History

dental patient registration form

dental patient registration form

Click Here To Download

Call Us Now To Schedule An
Appointment Today! 423-899-1112