Patient Forms

Patient Information Form

You can also download the Patient Information Form to print and fill out.

Notice of Privacy Practices

You can also download the Notice of Privacy Practices form to print and fill out.

Consent for Use and Disclosure of Health Information

You can also download the Consent for Use and Disclosure of Health Information Form to print and fill out.

West Vista Dental Patient Consent For Treatment Form

You can also download the West Vista Dental Patient Consent For Treatment Form to print and fill out.

Third Party Financing Option: Kenley Loftis DMD (West Vista)