Medical Clearance Form

This is the form needed in order to proceed with any dental treatment from a Medical Physician.
To print the Medical Clearance pdf page. Please click here.

Note to Medical Offices:
If our office is requesting this form please note that it will require a urgent reply from you. No answer to this form may result in the patient not being able to go forward with dental treatment. If you are denying to have dental treatment done because of a medical reason please let us know the reason on this form.

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Our Location

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Hours of Operation

We are CLOSED on ALL Major Holidays **All office hours are subject to change and treatment appointments are required during the COVID-19 pandemic.**

Primary Location


8:30 am-6:00 pm


8:30 am-6:00 pm


8:30 am-6:00 pm


8:30 am-6:00 pm


8:30 am-6:00 pm


By Appointment Only