Patient Forms
Please take a few moments and fill out the forms that apply to your type of visit before your next visit to Advanced Dentistry, LLC in Chatham. Thank you!
We like to make things easy for our patients, which is why we have provided the following patient forms that are easy to fill out and send to us electronically so that we may receive them ahead of your visit to our office. We understand if you would rather fill the forms out in the office. In that case, we ask that you arrive 15 minutes prior to your appointment time to allow for the time to most accurately fill out the forms. We look forward to seeing you soon!
- Patient Information [URL]
- Health History [URL]
- Medical History Update [URL]
- Adult Sleep and Breathing Questionnaire [URL]
- Sleep and Speech Questionnaire for Children [PDF]
- HIPPA Notice of Privacy Practices [PDF]
- HIPPA Acknowledgement [URL]
- Sleep History/Exam/Workup Form [URL]
- TMD Head, Neck Pain Exam and Workup Form [URL]