Patient Forms

Please print and fill out these forms so we can expedite your first visit:

• Health History
• Financial Policy

Please click and read Notice of Privacy Practices & print and sign Acknowledgement of Receipt of Notice of Privacy

• Notice of Privacy Practice

• Acknowledgement of Receipt of Notice of Privacy Practices

If you are requesting your records be sent to Dr. Freedman - Please print and sent request to your prior dentist

• Transfer Records to Dr. Freedman Request

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.