Forms

We know your time is valuable. To help you save time, feel free to download, print and fill out any of the forms below and bring them with you to your appointment. WE WILL NEED ALL THESE FORMS FILLED OUT at your first visit.

Financial Agreement (PDF)

Patient History – 2 Page Form (PDF)

Acknowledgment of Notice of Privacy Practices (PDF)

Notice of Privacy Practices (DOC)

Need a Dentist at 2am?

If you are a registered Bhargava patient with an after hours emergency, we’re just a phone call away. Call our office recording at 630-0002 to get our cell numbers.