Background Color:
Background Pattern:
Dr. Richesin     Dr. Richerzhagen     Dr. Newdome

Click on the New Patient Forms link below to download and print our new patient forms. Please bring the completed forms to your appointment along with your driver’s license and insurance card, if you have dental coverage.

New Patient Forms

Alabama Dental Privacy Policy

The forms above require Adobe Acrobat Reader to view. If you do not have Acrobat Reader on your computer, click below for a free download.