Blue Chip Dental

WE COMBINE MODERN DENTISTRY WITH OLD- FASHIONED VALUES

SCHEDULE APPOINTMENT

WE NEVER SELL UNNECESSARY TREATMENT!

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

Please download, print and complete this form before your first dental appointment.

New Patient Registration Form

Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.

Notice of Privacy Practices

HIPAA Form

Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.

HIPAA Form

Consent Form

Please download, print and complete this form before your first dental appointment.

Consent Form

If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

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