Patient Forms
NEW PATIENTS
If you are new patient please complete the following forms to expedite your initial visit at CopperMine Dental Studio:
1. Registration and Health History | Download (pdf)
2. HIPAA Privacy Form | Entire Download (pdf) - Print last page only
3. Financial Policy Form | Download (pdf)
ORTHODONTIC PATIENTS
1. Orthodontic Patient Questionnaire | Download (pdf)
2. Orthodontic Consent to Treatment | Download (pdf)
EXISTING PATIENTS
1. Release of Records Form | Download (pdf)