Georgia Reconstructive Dentistry

Patient Forms

All of our new patient intake forms are now available online. In some instances, the forms can be used to update current records. At present, the forms can be downloaded, printed and faxed or emailed to us, to expedite the initial intake process.

In a short time these forms will be revised to facilitate on-line completion.

Patient Registration Form

Patient History

Patient Insurance Form

HIPPA Acknowledgement