Welcome to our practice! Please complete the Patient Registration and Health History, the Financial Policy, and the HIPAA Acknowledgement Form. Please bring these with you to your first appointment.
Patient Registration and Health History 02192015.pdf
Child Patient Registration and Health History.pdf (Parent/Guardian should complete this form if the patient is under age 14.)
HIPAA Acknowledgement Form.pdf
HIPAA Acknowledgement Form for Minors.pdf (Parent/Guardian should complete this form if the patient is a minor.)
The HIPAA Privacy Notice is included below for your review. You do not need to print this document or bring it with you.
HIPAA Privacy Notice.pdf
We look forward to meeting you at your dental appointment! Thank you for choosing our practice!
“I had a dental implant placed at Dr. Horton’s office. I was missing a back tooth and did not want to have a removable partial. Although I was nervous about the procedure, I was pleasantly surprised at how easy it was. I love having a tooth where I used to have a space. It was nice to have the complete procedure done by my regular dentist, without having to go to several different places.”
Patty, Shepherdstown WV
"I lost my left front tooth. I couldn't smile and my remaining front teeth were shifting, causing spaces to appear between my teeth. Dr. Horton replaced my missing tooth with a dental implant and crown. He also closed the gaps between my front teeth. I am very pleased with the results and proud of my new smile."
Wesley, Martinsburg WV
Site Developed by ProSites.com