Patient Forms

Please print and fill out all of the New Patient forms below. You may fax them to us or bring them in with you before your appointment. 

Patient Information

Patient Health History

Hippa Consent Form

Important Payment Information

Consent Form for Root Canal Therapy

COVID-19 Consent Form

Provo Office Fax: 801-224-2255

Lehi Office Fax: 801-224-2255