FREE Smile Consultation: Call 702-403-5288 or request appointment online.

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New Online Patient Forms

New!   Fill out your new patient forms online.
Adult - New Patient Forms   Child - New Patient Forms

Our secure online forms save you time and effort by allowing you to fill out forms before your first visit. Our forms reduce the redundancy you're used to when filling in patient forms.

By filling out the forms online before your first dental appointment, we can make your visits more effective without sacrificing the high standard of care you expect.


You May Also Print These Forms If You Prefer

Please click on each page and print out each form to help make sure your check-in process at your consultation appointment goes smoothly.


New Patient Form Page 1
New Patient Form Page 2
New Patient Form HIPAA

Contact Us

(702) 403-5288

7603 Grand Teton Dr. #110, Las Vegas, NV 89131