Initial Appointment Forms

Streamline Your First Visit With Our Patient Forms

Spend less time in our waiting room by coming prepared for your appointment with Massari-Wilson Family Dentistry! Please print and complete the following forms before your visit. Our friendly staff will help you complete your insurance paperwork. Get in touch with us now.

Forms to Print and Complete

• Notice of privacy practices
• Release of information
• HIPPA
• Authorization to file insurance
• Policy statement
• Medical history

Medical Information

Having a complete understanding of your medical history will enable us to provide you with the best dental care possible.  Please complete the medical history form linked above to ensure we have the most up-to-date information.

Finally, a Dentist That Is 100% Dedicated to You

Your oral health and satisfaction are our top priorities. You can be confident that we’ll do everything possible to ensure your comfort! To provide you with the highest level of care possible, we offer cosmetic dentistry and CEREC crowns.

We accept personal checks, cash, Visa, MasterCard, Discover, and CareCredit! You may obtain low or no interest financing with CareCredit. We also accept most insurance! Contact us to find out if we accept yours. We look forward to helping you!