Patient Forms
Save time at check-in
Fill out your paperwork before your visit and you'll spend less time in the waiting room and more time with Dr. Croft.
Download your forms
Which ones do you need? Braces, Invisalign and TMD patients need the New Patient Form. TMD and jaw pain patients also fill out the TMD Questionnaire. Sleep apnea and snoring patients need the Sleep Screening Questionnaire. Everyone signs the HIPAA Notice.
- Download New Patient Form
New Patient Form
For braces, Invisalign and TMD patients. Patient and insurance information, plus medical, dental and TMJ history.
- Download TMD Questionnaire (Head, Neck & Facial Pain)
TMD Questionnaire (Head, Neck & Facial Pain)
For TMD and jaw pain patients. Your symptoms, pain history and past treatment, so Dr. Croft can get the full picture at your first visit.
- Download Sleep Screening Questionnaire
Sleep Screening Questionnaire
For sleep apnea and snoring patients. Sleep history, medical history, and the sleepiness screening questions Dr. Croft reviews at your first visit.
- Download HIPAA Notice of Privacy Practices
HIPAA Notice of Privacy Practices
How we protect your health information, with the acknowledgment page to sign.