Patient Forms

Picture of a patient giving a thumbs upSave time and complete the forms below in advance of your visit to our office.

Here are the forms for download:


These patient forms are in PDF format.

If you do not have Acrobat Reader installed, you can download it at http://

When you have Acrobat Reader just print the form, fill it out and bring it in on your first appointment.

The HIPAA form allow you to give us the permission to release needed information to your dental insurance or dental care plan required for payment for our services and to other healthcare professionals for your care.

Dr Braich dentistry logo

Call us NOW And Book Your Appointment!