New Patients

Patient Forms

To save you time at your first visit, please print and fill out the following forms:

Patient Registration

Medical History (English)

Medical History (Spanish)

HIPPA Acknowledgement of Receipt

HIPPA Notice of Privacy Practices

What You Can Expect

Your first visit will allow you the opportunity to get to know Dr. Mosser and the staff.  It will also allow your dentist the opportunity to get to know you and to understand your dental needs.  He will review with you all background information including medical history and perform a detailed examination.  It is our philosophy that every patient should be active participants in their dental care, which is why we take the time to understand your concerns and to educate regarding your treatment considerations.


"It is with great pride that we serve the members of our community. As your dentist I guarantee that you will receive the personalized attention that you and your loved ones deserve. Our patients are our friends-And this shows in the compassionate, friendly service we provide."

— David R. Mosser, DDS

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