Patient Forms

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

Patient Forms

• Health History Form (PDF)
• HIPAA Consent Form (PDF)
• Patient Registration Form (PDF) 
• Patient Update Form (PDF)

If Dr. Raymond recommends Nitrous Oxide at a subsequent appointment please also bring with you our Nitrous Consent form:

• Nitrous Consent Form (PDF)

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