Patient Forms

Click to view any of the following forms. They will be displayed in a new browser window. If you have a popup-blocker installed, hold down the Ctrl key when clicking. You may also right-click on any of the links and select "Save Target As..." to save a copy of the form on your computer.

• New Patient Consent Form

  Consent form for use and disclosure of health information as required for treatment, insurance and payment processing.




• New Patient Welcome

  Welcome letter from Dr. Jason McCargar to new patients with some information about scheduling and what to bring with you for your first visit.




• New Patient Health History

  Medical history background information, medication list and allergies. Complete and bring with you on your first / next visit.




• Patient Information

  General patient information form. Contact details, insurance information and dental background. Complete and bring with you on your first / next visit.




• Patient Insurance Forms

  Information for patients regarding insurance and payment for services. Complete and bring with you on your first / next visit.

To read the article, you will need the latest version of Adobe Acrobat Reader. You can download it by clicking here.