Ellis General Dentistry

Dennis W. Ellis, DDS, PA

New Patient Forms

Welcome to our practice!  We are very excited to meet you.  For your convenience, we have provided links to our New Patient Forms to make your check-in time as quick and seamless as possible. You will see links to our New Patient Registration Form and our HIPAA Privacy Form below. You are more than welcome to print these forms and have them filled out prior to your first visit. This will save you time during the check-in process and will help us to better serve you. 

If you have any questions about these New Patient Forms, please do not hesitate to call our office.  If you do not have time to fill out these forms prior to your first visit, you may do so when you arrive for your appointment.  Please arrive at least 10-15 minutes prior to your scheduled visit to complete this information. 

For more information about our Office Policies and Financial Arrangements, please click the previous links or visit the “About Us” tab on the homepage.   

 

New Patient Registration Form

HIPPA Notice Practices

HIPPA Acknowledgement