Patient Forms

Kindly print out these forms and bring them into the office with you at the time of your appointment.

If you have questions or to schedule an appointment, please call the Brilliant Dental Care office directly. We’ll get right back to you with an appointment confirmation or the answer to your question. If you have any questions or concerns, please get in touch with us anytime. We’re always happy to hear from you!

• New Patient Registration
• Medical Information
• Notice of Privacy Practices
• Financial Policy
• Consent for use & disclosure of health information