Downloadable Intake Forms

You will need to fill out and sign some forms during your first visit. Some forms are available here to download, such as your Medical History Form. If you have been diagnosed with temporomandibular dysfunction (TMD), you may download our TMJ History Form. These two forms will be reviewed by Dr. Fulton during your initial consultation. Filling out the medical history form in advance can save time during your first visit.

Prior to starting treatment additional forms will need to be signed. You may choose to review these forms online: Informed Consent, Notice of Privacy Practices and Federal Truth and Lending forms. Dr. Fulton or her new patient coordinator will be happy to assist you with understanding these forms.

Downloadable for Completion:

Downloadable for Review:

  • Notice of Privacy Practices (PDF file)
  • Informed Consent Form (PDF file)
  • Federal Truth in Lending Form (PDF file)