If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Digital Forms / Online Registration
HIPPA & Financial Responsibility Form
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
“We have flown across the ocean multiple times per year for Dr. Haase’s dentistry and the care he provides. It has been worth the trips!”
- Colin and Betty Glover, Isle of Man, England
“Dr. Haase’s dental work has been in my mouth for fifteen years and still receives compliments from specialists! No one possesses the skills of this guy!”
- William Epperson
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