Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Myrie, Dr. Toney and our caring staff. We encourage questions and do our best to always deliver quality care.


Please take a moment prior to your scheduled appointment to complete our patient forms. We ask that you complete the forms at least 24 hours PRIOR to your appointment so that we may better assist you in a timely manner. Click the links below.

Covid-19 Request for Treatment Representation and Consent

Thank you for your confidence in our dental office, we look forward to assisting you with all of your dental needs.

PLEASE remember to fill out our (anonymous) after visit survey by CLICKING HERE. We really would like for you to tell us how we are doing.

The single most important thing that you can do to reduce the impact of oral cancer is to have a comprehensive oral cancer exam at least ONCE each year. We hope that you will seriously consider having an oral screening for oral cancer.


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.



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