New Patient Form
New patient? Submit all necessary information online with our safe, encrypted, and HIPAA-compliant form!
Release of Protected Health Information
Need to have your protected health information sent to us at Fairmount Dental? Fill out this form!
Missed Appointment Policy
Review and sign our missed appointment policy here.
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. Please review it carefully.
Acknowledgement of Privacy Practices | Printable PDF | Full Notice of Privacy Practices
