New Patient Paperwork

In preparation for your future visit


Please take the opportunity to download, print, complete and bring with you the forms located below. In an effort to expedite your scheduled appointment, feel free to scan and email or fax the documents to our office at least one day before your scheduled appointment. If you have questions about your paperwork please feel free to call us at (405) 692-1222.

New Patient Paperwork

 New Patient Registration
  Notice of Privacy Practice
 Consent and Release Form

 
 
 Smile Zone Financial Policy Form Smile Zone Financial Policy Form (1544 KB)  HIPPA Privacy Practices Form HIPPA Privacy Practices Form (98 KB)  Consent and Release Form Consent and Release Form (98 KB)
Our fax number is (405) 703-0930
You will need Adobe Acrobat Reader to open this file. If you do not have Adobe Acrobat Reader on your computer please click on the link below for the free download.