New Patient Forms

To save you time, please complete prior to your visit all 3 forms (New Patient Registration, Dental Questionnaire, Medical History) in their entirety.

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 Dependents

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 dependents or complete the online form. If you or your dependents 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.

New Patient
Registration Form

New Patient Registration
for Dependents Form

Dental
Questionnaire Form

Medical History Form