Patient Forms

Your Time Matters To Us

Please print out the forms below and fill out to bring in to your first appointment. Thank you and we are looking forward to seeing you soon.

• Patient Information
• Assignment of Benefits Agreement
• Dental History

Oral Surgery Patient Forms

• Disclosure & Consent
• Medical History
• Preoperative
• Post-Operative (Dr. Burden)
• Supplemental Disclosure

Postoperative Forms & Instructions

• Post-Operative Extraction Instructions
• Soft Tissue Management: Treatment for Periodontitis (Infected Gums)
• Healing After a Root Canal
• Temporary Crowns or Bridges
• Teeth Whitening

Please click here to download Adobe Acrobat to view/print forms

Call us today with questions or to schedule an appointment!