A family dentist providing custom, quality care in a comfortable setting

A family dentist providing custom, quality care in a comfortable settingA family dentist providing custom, quality care in a comfortable settingA family dentist providing custom, quality care in a comfortable settingA family dentist providing custom, quality care in a comfortable settingA family dentist providing custom, quality care in a comfortable setting

New Patient Registration FORM

To save time at your appointment, download and fill out our patient forms and either attach to the contact form below or bring it to your appointment.

DENTAL REGISTRATION (pdf)

Download

Patient Health History Form

To save time at your appointment, download and fill out our patient forms and either attach to the contact form below or bring it to your appointment.

HEALTH HISTORY (pdf)

Download

Record Release Form

This is our record release. If you are transferring to/from our office, download and fill out our form and either attach to the contact form below or bring it into our office prior to your appointment.

RECORD RELEASE (pdf)

Download

Financial Agreement Form

This is our financial agreement for your benefit. We will require an electronic signature when you come in for your appointment.

FINANCIAL AGREEMENT (pdf)

Download

PRIVACY POLICY

This is our HIPAA Form for your benefit. We will require an electronic signature when you come in for your appointment.

Download

Dr Creek Dental

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