New Patient Forms

Save Up to 20 Minutes at Your Appointment


We know your time is valuable, we do our best to make your first visit as efficient as possible. If you take a few minutes to complete the online health questionnaire and patient information form, your patient chart will automatically be created in our system. If you prefer to do it by hand at your appointment, please arrive fifteen minutes early to fill out the paperwork. On the form, you will be asked to enter an appointment date. Please enter any valid date, we will make your appointment via phone call.

Click on the your local office below to complete your new patient forms:

What Sets Us Apart?

  • Same-Day Crowns
  • 2 Convenient Locations
  • 24/7 Emergency Availability
  • Advanced Dental Technology
  • Average Staff Tenure 15+ Years
  • Ideal Exact Placement of Implant
  • Certified Envirostar “Green” Practice
  • Emphasis on Education & Prevention
  • Free Teeth Whitening for New Patients
  • Believe in Giving Back to Local Community
  • See What We See with Our Intraoral Digital Cameras
  • Dr. Scoles is a Veteran of the U.S. Navy
  • In Network with Regence Dental
  • Premier Provider with Delta Dental