New Patient Forms
New Patient Form
If you’re a new patient, please print out this form, fill it out and bring it with you when you come for your appointment.
Crown Care Form
If you have received a permanent crown, this form will give you instructions on how to care for it.
Temporary Crown Care
If you have received a temporary crown, this form will give you instructions on how to care for it.
Extraction Post Op Form
If you have received a permanent crown, this form will give you instructions on how to care for it.
Extraction Consent Form
Fill this form out if you’re having any extractions or oral surgery.
Invisalign Consent Form
If you are getting Invisalign, please fill out this form and bring it in the day of your first visit.
Orthodontic Final Phase Retainer Care
If you have received retainers, this form will give you instructions on how to care for them.
Dr. Pike’s Patient Forms
Implant Care Form
If you’ve had an implant, this form will give you instructions on how you can take care of it.
Implant Consent Form
This is the form you fill out if you’re having an implant done.
Implant Post Op
If you’ve had an implant done, this is the form that tells you how to take care of it just after the procedure.
Implant Sequence
This form explains the 2 step process of the dental implant and other information you need to know.
Post Surgical Instructions
If you’ve had surgery, this form will help you with the post operative care you should know about.
Dr. Bui’s Patient Forms
Post Op Apical Surgery Form
This is the form that has the post-op instructions after apical surgery. Print this out and follow the instructions for the best recovery.
Informed Consent Endontic
Fill this out and bring it with you on the day of your apical surgery. It goes over the treatment plan and costs.
Post-Op Root Canal
This is the form that goes over the post-op care instructions after you’ve had a root canal.
Internal Bleaching Consent
Fill this form out and bring it in on the day of your appointment.
Endodontic Consent Form
If you’re having a root canal, please fill this out and bring it in prior to your root canal appointment.
