Rita M. Cammarata, DDS
Jennifer Cunningham, DDS
Jennifer P. Kong, DDS
Adam C. Shisler, DDS, MSD
Brenden E. Taylor, DDS, MSD
meet our team
Our Office Forms
For your convenience prior to visiting our office print out the forms and complete the information and bring it with you to your first visit.
Each child needs a health history form and a risk assessment form
Health History for Children 3 and Under:
Children 4 and Up:
Each family only needs one HIPPA form and one financial form
Thanks for your visit!
Please complete our survey!
To print the form you may need Adobe Acrobat Reader.