For your convenience, we have supplied our patient registration forms in PDF format.
Simply click on the link below to download the Printable PDF forms. Please call our office if you have any questions.
The Health Insurance Privacy and Portability Act (HIPAA) is a federal law designed to protect your personal health information. Kurt W. Knechtel, DMD Family and Cosmetic Dentistry is HIPAA compliant. We have provided a printable version of our HIPAA Notice of Privacy Practices and Acknowledgement forms. For new patients, please print, sign and bring the Acknowledgement form to your first visit.