Resources

New Patient Forms

Our printable New Patient Forms are now available for download so that you can complete your form at your convenience. This gives you the time you need to carefully review our policies and procedures outside of the office and makes your first visit easy. Click on the links below to download the forms, print them out and bring them to your first appointment.

• Hacikian Adult Registration & Health History
• Notice of Privacy Practices
• Hacikian Acknowlegement of Receipt of Notice of Privacy Practices

Our printable forms require Adobe Acrobat Reader to view. If you do not have Adobe Acrobat Reader, you may click the link below for a free download.

Current Patients

Referral Program

One of the highest compliments a dental practice can receive is when a patient refers a friend, co-worker or relative. We have made this process simple and easy by providing the form below. We guarantee they will receive the same high quality of care you have come to expect from us.

Patient Referrals

The form below will send an email to your friend. We will only contact them if they respond saying that they would like more information about our office.