Patient Forms

Please take a few minutes to fill out and submit your information prior to your first appointment with us:

Patient registration form

Text Communication

Please be aware that our office may contact you via text message for general communication, appointment reminders, dental insurance inquiries, and similar conversations.  You will not be subscribed to any spam texting lists or marketing, and your information will not be shared with third parties or affilliates.  We will not collect any of your private data, and this information will only be used by us to communicate directly with you.

If you consent to receive SMS from Windmill Family Dental, you agree to receive the above mentioned communication via SMS from us. Reply STOP to unsubscribe.  Reply HELP for help; Msg&Data rates may apply.  Please visit the Privacy Policy below for more privacy information.  No opt-in messaging consent will be shared with third parties or affiliates for marketing.

 

Please review our office HIPAA Privacy Policy:

• HIPAA POLICY

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