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(303) 828-5430
77 Erie Village Sq Suite 200, Erie, CO 80516




We are pleased to offer our New Patient forms online.  Simply click on the links below to download the form, print it out, and bring it completed to your first appointment.

Dental & Medical History

Patient Information

Patient Authorization




The forms above require Adobe Acrobat Reader to view.  If you do not have Acrobat Reader on your computer, click below for a free download.

77 Erie Village Square, Ste 200  •  Erie, CO  80516

(303) 828-5430 phone  •  (303) 828-5429 fax  •