Dr. Gary Adams & Associates General, Cosmetic, & Implant Dentistry
(301) 468-6200

6001 Montrose Road, Suite 1010
Rockville, MD 20852

Dr. Gary Adams & Associates General, Cosmetic & Implant Dentistry

Dr. Gary Adams & Associates General, Cosmetic, & Implant Dentistry
(301) 468-6200

6001 Montrose Road, Suite 1010
Rockville, MD 20852

[ New Patient Forms ]
 
   
 

New Patient Forms

We have provided these forms to help expedite the new patient registration process:

Dr. Gary Adams, D.D.S, L.L.C & Associates Financial Policy Form:

[
Financial Policy Form ] PDF Format


Notice of Acknowledgement of Receipt of Privacy Practices (HIPAA):

[ HIPAA Form ]
PDF Format


Confidential Patient Information Form:

[ Patient Info ]
PDF Format


Prior to first visit, please take a moment to download, print, fill out and sign the forms where applicable. Please bring these completed forms to your appointment.

Note: If you do not have Adobe PDF Reader, please follow this link to download the free program: [ Get PDF Reader ]

 

 
6001 Montrose Road, Suite 1010 Rockville, MD 20852 Phone (301) 468-6200 Fax (301) 762-3900