Patient Forms

Complete your forms online before your visit to save time and ensure we have all the information needed for your care.

New Patient Registration
Please complete all sections of this form. All information is confidential and will be used only for your dental care.

Personal Information

Address Information

Emergency Contact

Insurance Information

Medical History

Dental History

Consent and Agreement

Ready to Schedule Your Appointment?

Once you've completed your forms, schedule your appointment with Dr. Torres and our team.