Patient Forms

We understand your time is valuable. To ensure the fastest processing during your initial visit, we request you take the time to fill out any forms before showing up.

We deeply care about your privacy and the security of personal data. We have taken every precaution to protect your personal data by offering secure online forms. Make sure to press the “complete and send” button once you finish so it can automatically send us your information.

Dental Patient Registration Forms

Pre-register with our office by filling out the secure online Patient Registration Form.

Patient Registration FormA woman looking at an open laptop

Existing Dental Patient Update

Fill out our secure Existing Patient Update Form if any information has changed since your last visit.

Existing Patient Form

Miscellaneous Forms

Download any of the necessary forms you may need. Please fax the New Patient Privacy form to 719-528-5621 and email the New Patient Release Form to

Welcome FormNew Patient PrivacyNew Patient ReleaseDental Records ReleaseOffice PolicyReceipt PrivacySmile Assessment

Contact Us


8580 Scarborough Dr., Suite 105
Colorado Springs, CO 80920








7:00 AM – 4:00 PM

7:00 AM – 7:00 PM

7:00 AM – 4:00 PM

7:00 AM – 4:00 PM

7:00 AM – 4:00 PM



Schedule an Appointment

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