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Forms

You may access the following forms to assist us with your care. Please print and fill out the desired form, then bring it to your appointment.

  • New Patient Form ( Bartlett Office)
  • New Patient Form (Fayette Office)
  • Dental Benefits Agreement
  • Finanical Options Agreement
  • Instructions for Sedation
  • Consent for Conscious Sedation (Versed)
  • Consent for Conscious Sedation (Valium)
  • Consent for Conscious Sedation (Demerol)



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Patient Login | Home | About Dr. Josh | About Dr. Emily | About Dr. Jason | Staff Directory | Policies & Mission | Maps & Directions | Financial & Insurance
Contact Us | Virtual Office Tours | About Teeth | Dental Health | First Visit | Forms | FAQ | Brushing & Flossing | Prevention | Sedation Dentistry
Tooth Whitening | Arch Development | Cosmetic Restorations | Diet Counseling | Cavity Prevention | Games | Feedback