FORMS

We value your time and we realize filling out forms is a time-consuming process. However, in order to give you the best possible care, there are some things we need to know about you.

In an effort to make your appointment as convenient as possible, we have included our forms on our site. Simply print the forms, complete them in the comfort of your home and bring them with you to your appointment.

If you have any questions, please feel free to contact us at 721-5757.

Welcome Info Sheet
Medical History
Privacy Acknowledgement Form

Staff photo with Dr. Larry Withers DDS.
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