Patient Forms

New Art of Modern Dentistry Patients…After you have scheduled your first appointment with Art of Modern Dentistry, please take a moment and complete the following required medical forms. You can complete these forms when you come to our office, but it may be easier for you to do this now and allow us to see you more quickly when you get to our office!

Please download the documents below and bring these with you to your first appointment. All documents require Acrobat Reader in order to view and print.

Patient forms

» Health History
» Smile Analysis
» Cancellation and Financial Agreement
» HIPAA Receipt Form
» Whitening Consent Form
» Oral Screening Consent Form

Procedure Instructions

All documents require Acrobat Reader in order to view and print.

» Post-Whitening Care Instructions
» Temporary Crown Instructions
» Post-Operative Instructions
» Root Canal Considerations