Portnoy and Tu DDS

forms

New patients

As a new patient, you are asked to complete a number of information and consent forms when you arrive for your first appointment. You may complete the forms online at any time preceding your appointment and they will be sent securely to our office. You do not need to print the forms if you complete them online.

Complete the 'New Patient' forms

Alternatively, you may print out and complete the forms below in advance and bring them with you.

Welcome Letter

Medical and Registration form

HIPAA Law/HIPAA Consent form

No Show/Appointment Cancellation Policy
 

Existing patients:

We have used the best security available to make your dental records, account history, and appointments available online for your convenience. To access them, please create an account here by clicking the Sign Up button. When your account is confirmed, log in to view your information.
 

SecurePatient records and forms are held and transmitted securely.