Patient Forms

If you are a new patient to our office, please fill out the information in this link.

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Nelson and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Please take a moment and fill out our patient intake form. Download and print the pdf from the link below and bring the form with you to your first visit. If you are unable to fill these forms before your first visit please arrive 20 minutes early to your appointment. If you have any questions, feel free to contact our practice

Patient Forms

  1. Patient Registration
  2. Medical History
  3. Office Financial Policy
  4. Dental Office Informed Consent
  5. School Dental Form

HIPAA Privacy Act


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

association logo association logo association logo association logo