New Patient Registration Form

Dr. Grant is always happy to accept new patients. Please print out the New Patient Registration Form and bring the completed form with you to your appointment or complete the online form. Our New Patient Registration Form asks for your personal demographics and insurance information. This information allows us to serve you better and submit bills to your insurance company.

Please remember you will still need to bring your insurance card to your appointments.

New Patient Registration Form for Dependants

Our office strives to provide an atmosphere where young adults and children feel comfortable. Please print out this form and bring the completed form with you so you can save up to 20 minutes on your initial visit with your dependants or complete the online form. If you or your dependants have any concerns or individual needs please let us know as soon as possible so we can make your visit as comfortable as possible.

Please remember you will still need to bring your insurance card to your appointments.

Medical History Form

A complete and accurate medical history is an important part of diagnosis and treament planning.  Please fill out this medical history form so that we can provide you with optimal dental care.

Notice of Privacy Practices

Our practice respects your privacy. We understand that your personal health information is very sensitive. We will not disclose your information to others unless you tell us to do so, or unless the law authorizes or requires us to do so. We've posted our Notice of Privacy Practices to give you the opportunity to become more familiar with our privacy policy.