William D. Nelson, DDS

William D. Nelson, DDS

New Patient Forms

Please complete the following forms before your first visit.


New Patient Registration

Patient Registration


Health History

Medical History


Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Click here to download (16 KB)


HIPAA Form

Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.
Click here to download (11 KB)


 
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