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. Jennings, Dr. Babbitt, Dr. Shakir 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 print out our patient forms. We ask that you complete them and bring them with you to your appointment so we may better assist you in a timely manner. If you are unable to complete them prior to your appointment please arrive 15 minutes early to complete them at our office.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Registration Form.pdf

Medical History Page 1.pdf

Medical History Page 2.pdf

Registration & Health History for a Minor.pdf




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.


Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.