Strupp & BrummCosmetic & Restorative Dentistry

Patients

Patient forms.

Complete your forms online from any device — or download the PDFs to fill out by hand and bring with you. Either way, everything goes to reception@strupp.com or our front desk.

  1. 1

    Confidential Patient Information

    New patient registration, contact details, insurance, and health history — the complete intake form.

    Takes about 10–15 min online · 15–20 min by hand

  2. 2

    HIPAA Compliance Patient Consent

    Contact preferences, photography/video release, and privacy consent.

    Takes about 3 min

  3. 3

    Office Policy Acknowledgment

    Review our office and financial policies and provide a signature.

    Takes about 5 min

Prefer to fill them out at the office?

No problem. Arrive 15 minutes before your first appointment and we'll hand you a tablet, or call us and we'll email the forms to you directly.

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