A pdf reader like Adobe will be needed to view the forms. Send us any questions in the contact form below, or call us at (251) 343-3214. We will be happy to answer any questions and arrange an appointment that fits your busy schedule.
[ult_buttons btn_title=”Patient Registration ” btn_link=”url:http%3A%2F%2Fadamsdentist.com%2Fwp-content%2Fuploads%2F2018%2F03%2FPatient_Registration_Form-Eaglesoft.pdf||target:%20_blank|” btn_align=”ubtn-center” btn_size=”ubtn-custom” btn_width=”200″ btn_height=”60″ btn_title_color=”#eeee22″ btn_bg_color=”#81d742″ btn_bg_color_hover=”#1e73be” btn_title_color_hover=”#eeee22″ icon=”Defaults-file-pdf-o” icon_size=”32″ icon_color=”#ffffff” btn_icon_pos=”ubtn-sep-icon-top-push” btn_border_style=”solid” btn_color_border=”#1e73be” btn_border_size=”1″ btn_radius=”3″][ult_buttons btn_title=”Medical History” btn_link=”url:http%3A%2F%2Fadamsdentist.com%2Fwp-content%2Fuploads%2F2017%2F05%2FMedical_History_Form.pdf||target:%20_blank|” btn_align=”ubtn-center” btn_size=”ubtn-custom” btn_width=”200″ btn_height=”60″ btn_title_color=”#ffffff” btn_bg_color=”#dd3333″ icon=”Defaults-file-pdf-o” icon_size=”32″ icon_color=”#ffffff” btn_icon_pos=”ubtn-sep-icon-top-push” btn_border_style=”solid” btn_color_border=”#1e73be” btn_border_size=”1″ btn_radius=”3″][ult_buttons btn_title=”Internet Consent ” btn_link=”url:http%3A%2F%2Fadamsdentist.com%2Fwp-content%2Fuploads%2F2017%2F05%2FInternet-Consent.pdf||target:%20_blank|” btn_align=”ubtn-center” btn_size=”ubtn-custom” btn_width=”200″ btn_height=”60″ btn_title_color=”#ffffff” btn_bg_color=”#dd3333″ icon=”Defaults-file-pdf-o” icon_size=”32″ icon_color=”#ffffff” btn_icon_pos=”ubtn-sep-icon-top-push” btn_border_style=”solid” btn_color_border=”#1e73be” btn_border_size=”1″ btn_radius=”3″]
[ult_buttons btn_title=”HIPPA Acknowledgement” btn_link=”url:http%3A%2F%2Fadamsdentist.com%2Fwp-content%2Fuploads%2F2017%2F05%2FHIPPA-pt-acknowledgement.pdf||target:%20_blank|” btn_align=”ubtn-center” btn_size=”ubtn-custom” btn_width=”200″ btn_height=”60″ btn_title_color=”#ffffff” btn_bg_color=”#dd3333″ icon=”Defaults-file-pdf-o” icon_size=”32″ icon_color=”#ffffff” btn_icon_pos=”ubtn-sep-icon-top-push” btn_border_style=”solid” btn_color_border=”#1e73be” btn_border_size=”1″ btn_radius=”3″][ult_buttons btn_title=”General Consent” btn_link=”url:http%3A%2F%2Fadamsdentist.com%2Fwp-content%2Fuploads%2F2017%2F05%2FGeneral-Consent-for-Tx.pdf||target:%20_blank|” btn_align=”ubtn-center” btn_size=”ubtn-custom” btn_width=”200″ btn_height=”60″ btn_title_color=”#ffffff” btn_bg_color=”#dd3333″ icon=”Defaults-file-pdf-o” icon_size=”32″ icon_color=”#ffffff” btn_icon_pos=”ubtn-sep-icon-top-push” btn_border_style=”solid” btn_color_border=”#1e73be” btn_border_size=”1″ btn_radius=”3″][ult_buttons btn_title=”Financial Policy” btn_link=”url:http%3A%2F%2Fadamsdentist.com%2Fwp-content%2Fuploads%2F2017%2F05%2FFinancial-Policy.pdf||target:%20_blank|” btn_align=”ubtn-center” btn_size=”ubtn-custom” btn_width=”200″ btn_height=”60″ btn_title_color=”#ffffff” btn_bg_color=”#dd3333″ icon=”Defaults-file-pdf-o” icon_size=”32″ icon_color=”#ffffff” btn_icon_pos=”ubtn-sep-icon-top-push” btn_border_style=”solid” btn_color_border=”#1e73be” btn_border_size=”1″ btn_radius=”3″]