New Patient Forms

Please take a moment to fill out the patient information forms before your first visit with us.

**We ask that you contact your previous office (if applicable) asap to have them send any recent X-rays AND “Perio Charting” to office@southpointedental.com so that we can begin the process of creating your patient chart. This allows for your appointment to run smoothly and on time.

For complete exam:

Registration
Dental Questionnaire
Confidential Health History
Sleep Questionnaire

For emergency evaluation:

Emergency Registration & History

For a child exam:

Child Information

Please read prior to your appointment:

HIPAA Privacy Notice