New Patient Forms

Please complete the applicable New Patient Forms. The Registration Forms are interactive, editable PDF files; you must use acrobat reader to complete these forms to ensure information is transferred properly. Please email back to us at frontoffice@dental-horizons.com. This will expedite the check in process upon arrival. The financial and HIPAA forms are for your review and can be signed when you arrive 10 minutes early for your appointment. Acrobat Reader can be downloaded free of charge, from Adobe.com. pdf New Patient Registration (Adult) pdf New Patient Registration (Child) pdf HIPPA Form (Acknowledgement of Receipt of Notice of Privacy Practices) pdf Dental Horizons Financial Policy