The following information will help make your first visit or your next visit that much faster. If you prefer, you can print out and fill in the required information on the forms provided below ahead of time and bring with you to your visit.
- New Patient Information
- Medical History
- Assignment and Release Form
- Notice of Privacy Practices (HIPAA Policy)
We have made our new patient forms available to you as Adobe Acrobat files. If you have any problem getting these files to print properly, please call our Harrisonburg or Verona dental office and we will gladly send or fax them to you.