Patient Forms

1. Make sure that you have Adobe Acrobat Reader installed on your computer, or install Adobe Acrobat Reader by clicking the above link.
2. Click the Download & Open Complete Patient Forms link here.
3. The New Patient Forms will automatically open in your browser.
4. Please fill out the forms completely and accurately.  You may go back and change any of the information before you print them.  Use the TAB key to change from one entry field to the next. Continue until you get to the last page.
5. When you have competed all of the forms, there will be two option buttons at the bottom of the last page. The Print button will allow you to print the forms so that you can bring them with you to your appointment. The Reset button will clear ALL entries.

Individual forms listed below may be downloaded by clicking the link:

• Authorization to Release Dental Records to Dr. McHennry
• HIPAA
• Insurance Info
• Medical History
• Patient Registration