New Patient

If you are a new patient to our office, the attached files contain our new patient forms that will need to be filled out before you arrive at our New Orleans dental office. Print them, fill out the  Patient Registration, Medical History and HIPAA receipt forms.

  • You can then FAX them to: 504-286-0038 or mail them to us a week before their appointment to: 7037 Canal Blvd. Ste 210 New Orleans, LA 70124

Providing them to us before your appointment will allow us to attend to you more quickly than completing them on your arrival. Thank you and please call our office at 504-282-5557 should you have any questions at all.

Patient Forms


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Note: Sending your Forms via email is  not considered private. Please contact our office by telephone if sending highly confidential or private information.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.