New Patient Forms

New patients may print and prepare required forms before coming into our office if desired.  Please click on any form link below to open for viewing and printing.

  Dental History

  Registration

   Medical History #1     Medical History #2

  Privacy Practices Notice Receipt

Notice Of Privacy Practices

Please request additional information by calling
(719) 687-4033 , or submit the below contact form to
receive additional, confidential information regarding
any procedure.

Name*
Phone Contact
Email Address*
Questions/Comments