Patient Forms

If you are an existing patient to our Winchester dental office you may click the Current Patients button below to login to our secure Patient Account Access system.  New patients can either click on the New Patient button below or download the individual forms manually below.  Either way these will need to be filled out when you arrive for your first appointment to our dental office. Using our online form application or printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. 

Thank you and please call our dental office if you have any questions or need any assistance. 

Existing Patients:

Existing Patient Access Link - online access to account information, appointments, electronic payments and much more.

New Patient Online Form Applications:

New Patient Link - Secure Online Forms

New Patient Download Form Applications

Health History Form

HIPAA Privacy Act (2 pages)

HIPAA Privacy Acknowledgement

Financial Policy

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.