Patient Forms

Please download and fill-out our Referral Form. After you have completed the form, please make sure to bring it on your first visit to our office.

Download the Patient Registration & Health History Form

Technical Note: You need Adobe Acrobat Reader to view our form.
Please download the free Acrobat Reader from Adobe's web site if it is not already installed on your system.

Office Policies

• The office is open Monday - Thursday from 8-5. Friday hours vary.
• After hours (for emergencies only), we can be paged by calling (334) 749-3436.
• For your convenience, we always offer our first available appointment to you. If this appointment is unsuitable, we will work with you until we confirm a convenient time and date for your next visit. If you have pain or are in an emergency situation, every attempt will be made to see you as promptly as possible.
• Appointments reserve a specific time for each patient. If you are running late for your appointment, you may have to wait or be rescheduled for another time.
• We try to stay on schedule to minimize your waiting. Because we provide surgical services, extenuating circumstances may lengthen the time allocated for a procedure. Delays may arise. We greatly appreciate your patience and understanding in these situations.

Wisdom Tooth Consult

A consultation allows us to review an X-ray and to examine your mouth, so that we may evaluate the wisdom teeth and discuss your best treatment options. The consultation appointment also gives us the opportunity to review health considerations which may influence treatment. Consideration of these factors allows us to recommend the safest possible treatment and allows you to prepare appropriately for any necessary period of recovery.