If you are visiting our office for the first time, please print and fill out the first 5 forms below and bring them with you to your consultation

- please remember to bring your Dental and Health Insurance cards

Click here to download and print Patient Demographics Form

Click here to download and print Patient Medical History Form

Click here to download and print E-Prescribe form

Click here to download and print Notice of Privacy Practices

Click here to download and print our Payment Policy

Release of Patient Records Forms

(for existing Dr. Scutari Patients)

Use this form to have records from another provider released to Advanced Oral Surgery

Use this form to have records from Advanced Oral Surgery released to another provider