Patient Forms

Patient Forms

We Are Dedicated to Minimizing Your Wait Time

New patients please fill out ALL of the forms below (except for Records Release Form). After completing each one, hit submit at the end. They will be electronically sent to us. Thank you and we are looking forward to seeing you soon!

If you are a current patient and you need your records sent to another office, please print the Records Release Form, fill it out and email it back to us at DrT@TiralosiDental.com. We will send them promptly. We are sorry to see you go!

Records Release Form
Share by: