Patient Forms

WELCOME. WE ARE EXCITED TO HAVE YOU AS A NEW PATIENT TO OUR OFFICE.

The attached files contain our new patient forms. We would be thrilled if you could have these filled out when you arrive at our office for your first appointment. This will allow us to expedite your check-in process.

We look forward to meeting you.

Please don’t hesitate to call us at (612) 379-2428 should you have any questions at all.

Statement of Privacy Practices

Acknowledgement of Receipt of Statement of Privacy Practices

Patient Intake Documents

Directions and Parking Info

Happily located in Northeast Minneapolis, click on the map to find us.

Parking is easy with numerous lots and ramps within walking distance.

Patient Forms & Resources

The more we know about you, the better. Please take a moment to complete a few simple forms so we can make your first visit as smooth and convenient as possible.

Statement of Privacy Practices

Acknowledgement of Receipt of
Statement of Privacy Practices

Patient Intake Documents

Appointment Request

Take the first step towards a beautiful, healthy smile by scheduling your appointment below. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to set up your appointment.

We look forward to your office visit.