Robson Dentistry

New Patients

If you wish to complete your new patient forms prior to your first visit with us, please feel free to download, print and complete them to bring with you to your scheduled appointment. We look forward to seeing you soon.

Registration Form – click here to download

Health History – click here to download

Notice of Privacy – click here to download

Consent for use and disclosure of health information – click here to download

All-White-Smile-web

THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.