Creating Unforgettable Smiles

Patient Forms

Hate to fill out patient forms at an office?   Please feel free to download and fill out our patient forms below.  Just click on the form or forms you wish to fill out. Our patient forms are easy to understand.  At your convenience, you can either email them to our office or print them out and bring them with you to your appointment.   You are always welcome to come in a few minutes early to our office to fill them out on the day of your appointment, too.  If you have any further questions, please contact us.

patient forms/Murray dentist/Stephen D Haslam

New Patient Information Form

Health History Form

Office Privacy Policies

“I will certainly be referring all my family and friends to you”