If you are a new patient coming to your first appointment, please download, print, and fill out the forms below and bring them with you on appointment day.

English Forms:

New Patient Information Form

Medical History Form

Information Release Authorization Form

Consent for Treatment Form

WNC Dental Insurance & Financial Policies

Missed Appointment Policy

HIPAA Notice of Privacy Practices

Formularios Españoles: 

Formulario de Información del Nuevo Paciente

Formulario de Historial Médico

Formulario de Autorización de Divulgación de Información

Formulario de Consentimiento para el Tratamiento

Seguros y Pólizas Financieras de WNC Dental

Política de Citas Perdidas

Aviso de Prácticas de Privacidad de HIPAA

If you are already a patient at WNC Dental, be sure to tell your doctor of any changes to your health or medications.