Patient Forms

Home » Patient Forms

Do you like saving time? We like to save your time, too!! So we have created an easy way for you to use our downloadable forms. Just download, fill out and bring to your next appointment. If you’d rather fill out the form online, please do so below. For More Information Contact Us or Book an Appointment Online.

[caldera_form id="CF5fd08f96d8e5c"]

[formidable id=2]

Disclaimer

We aim to make your visits with us comfortable and stress-free. We know coming to the dentist can be unnerving, and a bit scary. So we try to make your time with us here as comfortable as possible by meeting you with a smile, listening to you and treating everyone like a good friend, because you are.

img:is([sizes="auto" i],[sizes^="auto," i]){contain-intrinsic-size:3000px 1500px;}img.wp-smiley,img.emoji{display:inline !important;border:none !important;box-shadow:none !important;height:1em !important;width:1em !important;margin:0 .07em !important;vertical-align:-.1em !important;background:none !important;padding:0 !important;}:root{--wp--preset--aspect-ratio--square:1;--wp--preset--aspect-ratio--4-3:4/3;--wp--preset--aspect-ratio--3-4:3/4;--wp--preset--aspect-ratio--3-2:3/2;--wp--preset--aspect-ratio--2-3:2/3;--wp--preset--aspect-ratio--16-9:16/9;--wp--preset--aspect-ratio--9-16:9/16;--wp--preset--color--black:#000;--wp--preset--color--cyan-bluish-gray:#abb8c3;--wp--preset--color--white:#fff;--wp--preset--color--pale-pink:#f78da7;--wp--preset--color--vivid-red:#cf2e2e;--wp--preset--color--luminous-vivid-orange:#ff6900;--wp--preset--color--luminous-vivid-amber:#fcb900;--wp--preset--color--light-green-cyan:#7bdcb5;--wp--preset--color--vivid-green-cyan:#00d084;--wp--preset--color--pale-cyan-blue:#8ed1fc;--wp--preset--color--vivid-cyan-blue:#0693e3;--wp--preset--color--vivid-purple:#9b51e0;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple:linear-gradient(135deg,rgba(6,147,227,1) 0%,#9b51e0 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan:linear-gradient(135deg,#7adcb4 0%,#00d082 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange:linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red:linear-gradient(135deg,rgba(255,105,0,1) 0%,#cf2e2e 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray:linear-gradient(135deg,#eee 0%,#a9b8c3 100%);--wp--preset--gradient--cool-to-warm-spectrum:linear-gradient(135deg,#4aeadc 0%,#9778d1 20%,#cf2aba 40%,#ee2c82 60%,#fb6962 80%,#fef84c 100%);--wp--preset--gradient--blush-light-purple:linear-gradient(135deg,#ffceec 0%,#9896f0 100%);--wp--preset--gradient--blush-bordeaux:linear-gradient(135deg,#fecda5 0%,#fe2d2d 50%,#6b003e 100%);--wp--preset--gradient--luminous-dusk:linear-gradient(135deg,#ffcb70 0%,#c751c0 50%,#4158d0 100%);--wp--preset--gradient--pale-ocean:linear-gradient(135deg,#fff5cb 0%,#b6e3d4 50%,#33a7b5 100%);--wp--preset--gradient--electric-grass:linear-gradient(135deg,#caf880 0%,#71ce7e 100%);--wp--preset--gradient--midnight:linear-gradient(135deg,#020381 0%,#2874fc 100%);--wp--preset--font-size--small:13px;--wp--preset--font-size--medium:20px;--wp--preset--font-size--large:36px;--wp--preset--font-size--x-large:42px;--wp--preset--spacing--20:.44rem;--wp--preset--spacing--30:.67rem;--wp--preset--spacing--40:1rem;--wp--preset--spacing--50:1.5rem;--wp--preset--spacing--60:2.25rem;--wp--preset--spacing--70:3.38rem;--wp--preset--spacing--80:5.06rem;--wp--preset--shadow--natural:6px 6px 9px rgba(0,0,0,.2);--wp--preset--shadow--deep:12px 12px 50px rgba(0,0,0,.4);--wp--preset--shadow--sharp:6px 6px 0px rgba(0,0,0,.2);--wp--preset--shadow--outlined:6px 6px 0px -3px rgba(255,255,255,1),6px 6px rgba(0,0,0,1);--wp--preset--shadow--crisp:6px 6px 0px rgba(0,0,0,1);}:root{--wp--style--global--content-size:800px;--wp--style--global--wide-size:1200px;}:where(body){margin:0;}.wp-site-blocks > .alignleft{float:left;margin-right:2em;}.wp-site-blocks > .alignright{float:right;margin-left:2em;}.wp-site-blocks > .aligncenter{justify-content:center;margin-left:auto;margin-right:auto;}:where(.wp-site-blocks) > *{margin-block-start:24px;margin-block-end:0;}:where(.wp-site-blocks) > :first-child{margin-block-start:0;}:where(.wp-site-blocks) > :last-child{margin-block-end:0;}:root{--wp--style--block-gap:24px;}:root :where(.is-layout-flow) > :first-child{margin-block-start:0;}:root :where(.is-layout-flow) > :last-child{margin-block-end:0;}:root :where(.is-layout-flow) > *{margin-block-start:24px;margin-block-end:0;}:root :where(.is-layout-constrained) > :first-child{margin-block-start:0;}:root :where(.is-layout-constrained) > :last-child{margin-block-end:0;}:root :where(.is-layout-constrained) > *{margin-block-start:24px;margin-block-end:0;}:root :where(.is-layout-flex){gap:24px;}:root :where(.is-layout-grid){gap:24px;}.is-layout-flow > .alignleft{float:left;margin-inline-start:0;margin-inline-end:2em;}.is-layout-flow > .alignright{float:right;margin-inline-start:2em;margin-inline-end:0;}.is-layout-flow > .aligncenter{margin-left:auto !important;margin-right:auto !important;}.is-layout-constrained > .alignleft{float:left;margin-inline-start:0;margin-inline-end:2em;}.is-layout-constrained > .alignright{float:right;margin-inline-start:2em;margin-inline-end:0;}.is-layout-constrained > .aligncenter{margin-left:auto !important;margin-right:auto !important;}.is-layout-constrained > :where(:not(.alignleft):not(.alignright):not(.alignfull)){max-width:var(--wp--style--global--content-size);margin-left:auto !important;margin-right:auto !important;}.is-layout-constrained > .alignwide{max-width:var(--wp--style--global--wide-size);}body .is-layout-flex{display:flex;}.is-layout-flex{flex-wrap:wrap;align-items:center;}.is-layout-flex > :is(*,div){margin:0;}body .is-layout-grid{display:grid;}.is-layout-grid > :is(*,div){margin:0;}body{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}a:where(:not(.wp-element-button)){text-decoration:underline;}:root :where(.wp-element-button,.wp-block-button__link){background-color:#32373c;border-width:0;color:#fff;font-family:inherit;font-size:inherit;line-height:inherit;padding:calc(.667em + 2px) calc(1.333em + 2px);text-decoration:none;}.has-black-color{color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color:var(--wp--preset--color--white) !important;}.has-pale-pink-color{color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color:var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color:var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color:var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color:var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color:var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background:var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background:var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background:var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background:var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background:var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background:var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background:var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background:var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background:var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background:var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size:var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size:var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size:var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size:var(--wp--preset--font-size--x-large) !important;}:root :where(.wp-block-pullquote){font-size:1.5em;line-height:1.6;}.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload),.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload) *{background-image:none !important;}@media screen and (max-height: 1024px){.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload),.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload) *{background-image:none !important;}.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload).nitro-lazy,.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload) *.nitro-lazy{background-image:none !important;}}@media screen and (max-height: 640px){.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload),.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload) *{background-image:none !important;}.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload).nitro-lazy,.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload) *.nitro-lazy{background-image:none !important;}}.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload).nitro-lazy,.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload) *.nitro-lazy{background-image:none !important;}body.page-id-4659 .topform-toop{display:flex;}div#nf-form-6-cont label{font-weight:700 !important;}a.elementor-button-link.elementor-button.elementor-size-md{white-space:nowrap;font-size:17px;line-height:17px;font-weight:500;color:#fff;font-family:Roboto;background-color:#2c2c2c;border-color:#000;border-radius:30px;outline:none;box-shadow:#999 0px 0px 0px 0px;box-sizing:border-box;cursor:pointer;visibility:inherit;transition:none 0s ease 0s;text-align:inherit;margin:0px;padding:12px 2px;letter-spacing:0px;min-height:45px;max-height:45px;opacity:1;}header.site-header{background:#1099e8;width:100%;max-width:100%;padding:15px 5%;}.site-navigation ul.menu li{list-style:none;display:inline-block;position:relative;cursor:default;float:none;text-align:left;margin-left:-.3rem;color:#2d2c54;}.site-navigation ul.menu li a{padding:8px 15px;line-height:1;font-weight:500;display:block;cursor:pointer;color:inherit;font-size:14px;position:relative;letter-spacing:.015rem;}.site-navigation ul.menu li a{padding:8px 15px;line-height:1;font-weight:500;display:block;cursor:pointer;color:inherit;color:#fff !important;font-size:14px;position:relative;letter-spacing:.015rem;font-family:Raleway,"Helvetica Neue",Helvetica,Arial,sans-serif;}.elementor-element.elementor-element-8e19cfe.elementor-column.elementor-col-25.elementor-top-column,.elementor-element.elementor-element-0571568.elementor-column.elementor-col-25.elementor-top-column{padding-top:35px;}.footersdd span.elementor-icon-list-text{font-family:Muli,"Helvetica Neue",Helvetica,Arial,sans-serif !important;text-transform:uppercase;letter-spacing:2px;font-size:14px !important;}.footersdd h2.elementor-heading-title.elementor-size-default:before{content:"";width:80px;height:3px;background:#1eacf8;display:inline-block;position:absolute;left:0;bottom:-10px;}.elementor-element.elementor-element-0729ff2.elementor-align-left.elementor-icon-list--layout-traditional.elementor-widget.elementor-widget-icon-list{border-right-width:1px !important;padding-top:0px !important;padding-bottom:0px !important;border-right-color:#9a9a9a !important;border-right-style:solid !important;}.elementor-element.elementor-element-e52e245.elementor-align-left.elementor-icon-list--layout-traditional.elementor-widget.elementor-widget-icon-list{border-right-width:1px !important;padding-top:0px !important;padding-bottom:0px !important;border-right-color:#9a9a9a !important;border-right-style:solid !important;}.elementor-element.elementor-element-180b422.elementor-align-left.elementor-icon-list--layout-inline.elementor-widget.elementor-widget-icon-list li.elementor-icon-list-item{padding:0 75px !important;margin:0;}.elementor-element.elementor-element-180b422.elementor-align-left.elementor-icon-list--layout-inline.elementor-widget.elementor-widget-icon-list li.elementor-icon-list-item:nth-child(1){padding-left:30px !important;}.elementor-element.elementor-element-180b422.elementor-align-left.elementor-icon-list--layout-inline.elementor-widget.elementor-widget-icon-list li.elementor-icon-list-item{padding:0 75px !important;margin:0;border-left:solid 1px #9a9a9a;padding-left:20px;}.elementor-element.elementor-element-9d6a8be.elementor-widget.elementor-widget-heading{margin-bottom:50px;}section.elementor-element.elementor-element-54814cc.elementor-section-stretched.footersdd.elementor-section-boxed.elementor-section-height-default.elementor-section-height-default.elementor-section.elementor-top-section{padding-top:30px;}.elementor-element.elementor-element-1b4b73e.elementor-align-left.elementor-icon-list--layout-traditional.elementor-widget.elementor-widget-icon-list{padding-top:55px;}.elementor-element.elementor-element-381a547.elementor-align-left.elementor-icon-list--layout-traditional.elementor-widget.elementor-widget-icon-list{padding-top:15px;}.elementor-element.elementor-element-465e2ec.elementor-align-left.elementor-icon-list--layout-traditional.elementor-widget.elementor-widget-icon-list{padding-top:55px;}section.elementor-element.elementor-element-8baf371.elementor-section-stretched.footersdd.elementor-section-boxed.elementor-section-height-default.elementor-section-height-default.elementor-section.elementor-top-section{padding-top:45px;padding-bottom:45px;}.elementor-element.elementor-element-57748ad.elementor-column.elementor-col-50.elementor-top-column{border-right:1px solid #777;margin-right:25px;}.tttttttttt ul.elementor-icon-list-items.elementor-inline-items li:nth-child(2) span.elementor-icon-list-text{padding:0;}.tttttttttt ul.elementor-icon-list-items.elementor-inline-items li:nth-child(2){display:inline-block;white-space:nowrap;border-radius:0;padding:4px 21px;color:#fff;position:relative;top:2px;font-size:17px !important;background:#1099e8;}.tttttttttt ul.elementor-icon-list-items.elementor-inline-items li:nth-child(1){background:#d67610;white-space:nowrap;border-radius:0;padding:5px 10px;color:#fff;position:relative;top:3px;font-size:17px !important;}a#sm-159026135376062-1{color:#fff !important;}ul#sm-159026135376062-2{border:1px solid #777;}.drtttt{border-top:1px solid #ddd;margin-top:40px;padding-top:40px;border-bottom:1px solid #ddd;margin-bottom:40px;padding-bottom:40px;}.recentpost ul li{font-weight:500;border-bottom:1px solid #ececec;padding-bottom:10px;margin-bottom:10px;transition:.2s;}.recentpost ul li a{font-family:Muli,"Helvetica Neue",Helvetica,Arial,sans-serif;color:#000;line-height:30px;}.recentpost h5{display:block;line-height:1;letter-spacing:1px;letter-spacing:.025rem;padding:1.5rem 2.5rem;font-weight:500;color:#2d2c54;font-family:Raleway,"Helvetica Neue",Helvetica,Arial,sans-serif;background:#ecf3f8;}.elementor-element.elementor-element-7df2fce2.elementor-widget__width-initial.elementor-fixed.elementor-widget.elementor-widget-button{display:none !important;}h1.elementor-cta__title.elementor-cta__content-item.elementor-content-item{font-family:"Roboto",Sans-serif;font-size:45px;font-weight:400;padding-left:50px;}.mainform label{display:unset !important;}.mainform textarea{width:100%;border:1px solid #666;border:0 !important;border-radius:3px;padding:.5rem 1rem;-webkit-transition:all .3s;-o-transition:all .3s;transition:all .3s;display:block !important;margin-bottom:20px !important;padding-left:2.3rem !important;background:#e1e5eb !important;margin-top:8px !important;}.mainform input[type=text],.mainform input[type=email],.mainform select{width:100%;border:1px solid #666;border:0 !important;border-radius:3px;padding:.5rem 1rem;-webkit-transition:all .3s;-o-transition:all .3s;transition:all .3s;display:block !important;height:60px !important;margin-bottom:20px !important;padding-left:2.3rem !important;background:#e1e5eb !important;margin-top:8px !important;}input.wpcf7-form-control.wpcf7-submit{background:#005bd3 !important;padding:15px 50px !important;color:#fff !important;}.topform{width:49%;float:left;}.topform.leftsection{margin-left:21px;}div#bookkkapp a.elementor-button-link.elementor-button.elementor-size-md{padding:15px 40px !important;display:inline-table;line-height:13px;}@media screen and (max-width: 767px){.elementor-140 .elementor-element.elementor-element-a85ca8e{width:49% !important;}.elementor-140 .elementor-element.elementor-element-d54f448{width:45% !important;}.elementor .elementor-hidden-phone{display:block !important;margin-bottom:20px;}div#cst-hder-txt{display:none;}div#cst-cl-hdr ul li:last-child{display:none;}}@media screen and (max-width: 767px){.nf-field h2{font-size:24px !important;margin:0 !important;overflow:hidden;width:300px;}body,html{overflow-x:hidden !important;}.nf-field p{font-size:20px !important;width:300px;}h5.nextlinetext{font-size:16px !important;}.toptext{font-size:43px !important;}h1.toptext{color:#fff !important;}h5.nextlinetext{font-size:16px !important;color:#fff !important;}.elementor-128 .elementor-element.elementor-element-6ea035f .elementor-image img{width:100% !important;}.elementor-8 .elementor-element.elementor-element-69fde1c .elementor-heading-title{color:#000;font-size:28px;line-height:30px !important;}.elementor-8 .elementor-element.elementor-element-fca55da > .elementor-widget-container{padding:0px 20px 0px 20px !important;}.elementor-8 .elementor-element.elementor-element-51e2b5d .elementor-heading-title{color:#000;font-family:"Lato",Sans-serif;font-size:25px !important;font-weight:900;text-transform:uppercase;}.elementor-8 .elementor-element.elementor-element-b5ccd9f{padding:40px 0px 0px 0px !important;}.elementor-element.elementor-element-cc83777.elementor-widget.elementor-widget-heading{margin-top:30px;}.elementor-8 .elementor-element.elementor-element-8e83b7d .elementor-heading-title{color:#000;font-family:"Lato",Sans-serif;font-size:35px !important;font-weight:600;text-transform:uppercase;}.readmorebtn{margin-bottom:30px;}.elementor-8 .elementor-element.elementor-element-ec6805a .elementor-heading-title{color:#000;font-family:"Lato",Sans-serif;font-size:23px;font-weight:900;text-transform:uppercase;line-height:32px;}.elementor-8 .elementor-element.elementor-element-69c331e .elementor-heading-title{color:#1baafd;font-family:"Lato",Sans-serif;font-size:28px !important;font-weight:700;text-transform:uppercase;line-height:30px !important;}.elementor-element.elementor-element-298b3f4.elementor-column.elementor-col-100.elementor-top-column{width:100% !important;text-align:center;margin-right:0 !important;}.elementor-element.elementor-element-180b422.elementor-align-left.elementor-icon-list--layout-inline.elementor-widget.elementor-widget-icon-list li.elementor-icon-list-item:nth-child(1){padding-left:75px !important;line-height:31px;}.elementor-element.elementor-element-180b422.elementor-align-left ul li{line-height:35px;}.elementor-140 .elementor-element.elementor-element-a85ca8e{width:100% !important;}.elementor-140 .elementor-element.elementor-element-3f6877e{width:100% !important;}.elementor-140 .elementor-element.elementor-element-d54f448{width:100% !important;}.elementor-140 .elementor-element.elementor-element-08dd43a .elementor-image img{width:100% !important;}.elementor-140 .elementor-element.elementor-element-5e4dd8b{width:100% !important;}}@media only screen and (min-width: 768px) and (max-width: 1023px){.elementor .elementor-hidden-phone{display:block !important;margin-bottom:20px;}div#cst-hder-txt{display:none;}div#cst-cl-hdr ul li:last-child{display:none;}}a{color:#02396f;}.formsectionss .caldera-grid label{display:inline-block;max-width:100%;margin-bottom:5px;font-weight:500;font-family:Muli,"Helvetica Neue",Helvetica,Arial,sans-serif !important;text-transform:uppercase;letter-spacing:2px;font-size:14px !important;color:#000 !important;}select#fld_5391992_1,.formsectionss input{padding:1.4rem !important;padding-left:1.4rem !important;border-radius:2px !important;line-height:2 !important;margin-bottom:1.2rem !important;text-transform:none !important;box-shadow:none !important;background:rgba(236,241,248,69%) !important;box-sizing:border-box;}input#fld_989876_1{width:100%;background:#1099e8 !important;font-family:Muli,"Helvetica Neue",Helvetica,Arial,sans-serif !important;text-transform:uppercase;letter-spacing:2px;font-size:16px !important;color:#fff !important;}h3.total-line{font-family:Muli,"Helvetica Neue",Helvetica,Arial,sans-serif !important;text-transform:uppercase;letter-spacing:2px;font-size:22px !important;color:#000 !important;font-weight:700;}.elementor-nav-menu:after{content:" ";display:block;height:0;font:0/0 serif;clear:both;visibility:hidden;overflow:hidden;}.nf-form-content label{font-size:16px !important;line-height:26px !important;font-family:"Montserrat",Sans-serif !important;}input#nf-field-6,input#nf-field-27,input#nf-field-18,input#nf-field-33{font-family:"Montserrat",Sans-serif;font-size:16px;font-weight:500;line-height:27px;border-style:solid;border-width:1px 1px 1px 1px;background-color:#1099e8;color:#fff;width:150px !important;margin:0 auto !important;display:block;}.nf-form-fields-required{display:none !important;}

Patient Forms

Recent Posts

TRENDING SEARCHES

Disclaimer