PATIENT FORMS 


 

For the convenience of our patients and to save time in our waiting room, weoffer our New Patient forms online.  Simply click on the link below to download the form, print it out, and bring it completed to your first appointment.

New Patient Forms

Alabama Dental Privacy Policy

Patient Acknowledgement of Privacy Practices Concent & Release Form


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.

 

 

3920 Grants Mill Road  •  Birmingham, AL  35210  
Phone. 205-956-8977
  •  Fax. 205-956-8340

 
 

© 2008 Alabama Dental Associates