Dr. Samantha Greer, DDS, PA

Forms


If you are a new patient to our office, we ask you to please print and fill out the forms below. Please bring these completed patient forms and your dental insurance information (if applicable) to your first dental appointment. Completing these forms in advance allows us to devote your appointment time to your dental needs.

We ask that all new patients arrive 15 minutes prior to their scheduled time.

If you have any questions, feel free to call us. We look forward to seeing you at your appointment.



     Patient Registration Form


     Dental History Form


     Medical History Form


     HIPPA Policies


     HIPPA Consent Form