In order to make your first visit easier, we’ve provided all the forms you will need before you come in. Of course if you have any questions feel free to give us a call!

To complete and submit the forms electronically, please select the appropriate link below. Thank you!

Adult
Child

For paper copies, please selecte each form below and print from a computer. Fill out the forms and either bring with you to the office or scan and email to office@summitfamilydentist.com. Thank you!

Notice Of Privacy Practices
Financial Policy
HIPAA Acknowledgement
Patient Registration
Health History
Appointment Policy