Forms


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We have placed our NEW PATIENT FORM and NOTICE OF PRIVACY PRACTICES on our site for your convenience. You may download these forms below. This way you may complete them from the convenience of your home or office before your appointment. This will help expedite your new appointment. Please remember to bring your completed forms with you for your first appointment.

 

 

Below are a few forms that you may wish to download:

General Forms


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Cancellation Policy

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Consent to Receive Anesthesia

Adult Patients


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Adult Health History

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Adult I.V. Request

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Adult Patient Information

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HIPPA

Adult Special Needs Forms


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Special Needs Health History

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Special Needs I.V. Request

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Special Needs Patient Information

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HIPPA

Child Forms


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Child Health History

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Child I.V. Request

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Child Patient Information

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HIPPA

Testimonials

  • The IV sedation provided by Dr. Palmer makes caring for our children's dental needs less stressful for them and for us. Without the professional and understanding support of Dr. Palmer and his staff we are not sure how we would care for our children's dental needs.
    Mr. & Mrs. B - Parents of two Children with Autism
  • "I don't worry about dental visits anymore! My boys feel comfortable and happy with Dr. P. He's great with kids with special needs... and great with moms who worry a lot!"
    Elizabeth C
    Mom of two boys with autism

Site Poll

What's your biggest fear of a dental visit?

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