For your convenience we have multiple forms available to you to download and review. The forms are categorized appropriately.
New Patient Forms
The following forms are for patients new to our office. You may print them and fill them out prior to your appointment. They are in Adobe PDF format:
The above packet includes all the forms you need to fill out. The packet does NOT include our Notice of Privacy Practices. You DO NOT have to print this out. You may view it here or you may view a copy posted in our office. This is informational and describes how we adhere to HIPPA regulations and your rights to your protected health care information.
Telehealth Visit Consent Form
If you are going to be doing a telelehealth visit with Dr. Nick Calcaterra, the following consent form must be filled out prior to your visit.
Records Release Form
- Records Release Form to Us – Fill out this form granting permission to your previous dentist to release your records to us.
- Records Release Form from Us – Fill out this form granting permission to us to release your records to yourself or a new dentist.
Post Treatment Forms
- Post-Surgical Instructions in PDF format.
- Post-Surgical Instructions viewable on our website.
A link to a document we’re required to post from the Department of Health and Human Services.
