Nunnally and Freeman
Healthy Smiles for Life
Patient Forms
We are always welcoming new patients to our practice!
Preview our consent forms or fill out a patient health history form before your first visit. The forms are protected by 128-bit encryption and all submitted information is confidential.
These forms below are here to preview for your convenience. They will be available to complete at our office if needed.
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
- Instructions for Patients Receiving Sedation (Oral & IV)
- Informed Consent Documentation for Conscious Sedation
- Consent to Medical or Surgical Treatment or Care
- Consent to Perform Oral Surgery
- Consent for Biopsy
- Temporary Restorations Consent Form
- Posterior Composite Informed Consent
- Consent for I.V. Therapy
- Consent form for Extraction of Root-Canaled Teeth, or Crowned, or Heavily Filled, or Grossly Decayed, Dead or Dying Teeth
- Amalgam Removal Informed Consent Form