Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child & Adult) PDF | DOC
  • Release of Dental Records  PDF  DOC

If you're unable to open PDF files, you can get Adobe Reader® for free.

Please email or Fax forms back to the office:

williamdmoorejrdmd@gmail.com

Fax: 706-453-4714