Patient Forms

The first or initial visit to the office is designed to get you better acquainted with all we offer as well as introducing you to the Doctor and our caring staff.  We encourage questions and always do our best to deliver quality care.  Please take a moment prior to your scheduled appointment to download our New Patient forms.  We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Information form (1)

Patient Information form (2)

Health History (front)

Health History (back)


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

My 30+ daughter was having sedation dental work to remove 4 molars. Staff knew she was extremely anxious. Staff couldn't have been more helpful. They helped her and me thru the experience. Valerie came out several times to let me know how she was doing. Stayed with us for the recovery. And Dr. William's was very kind and concerned with her too.
J

Janet Jones
I’m terrified of dentists and I’m so thankful I found Dr. Black. Other dentists wanted to give up and just extract my problem teeth but to my surprise Dr. Black was able to save a few. I’ve always felt comfortable and well taken care of. Good and fair prices for procedures not covered by insurance.
Y

Yelena Ostrov
IT WAS THE BEST SERVICE EVER. They did whatever they could, to help me in my situation. Will for sure come again!. Dr.Black did a very fine job with my teeth.
S

Savinder Singh
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